MULTIVITAMINS,THERAPEUTIC TAB (1502) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS,THERAPEUTIC TAB
VA GENERIC NAME	MULTIVITAMINS
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	ERGOCALCIFEROL STRENGTH: 400 UNITS: UNIT RIBOFLAVIN STRENGTH: 3.4 UNITS: MG THIAMINE MONONITRATE STRENGTH: 3 UNITS: MG TOCOPHERYL ACETATE,DL-ALPHA STRENGTH: 30 UNITS: UNIT BIOTIN STRENGTH: 15 UNITS: MCG VITAMIN A PALMITATE STRENGTH: 5500 UNITS: UNIT NIACIN (AS NIACINAMIDE) STRENGTH: 30 UNITS: MG PANTOTHENIC ACID (AS CALCIUM) STRENGTH: 10 UNITS: MG CYANOCOBALAMIN STRENGTH: 9 UNITS: MCG ASCORBIC ACID STRENGTH: 120 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 3 UNITS: MG FOLIC ACID STRENGTH: 0.4 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2013-10-23 00:00:00
DSS NUMBER	46
NATIONAL FORMULARY NAME	MULTIVITAMINS TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	MULTIVITAMIN THERAPEUTIC CAP/TAB
VA PRODUCT IDENTIFIER	M0142
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP/TAB
MASTER ENTRY FOR VUID	YES
VUID	4002100
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE