MULTIVITAMIN/OPTH ANTIOXIDANT TAB/CAP (15117) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMIN/OPTH ANTIOXIDANT TAB/CAP
VA GENERIC NAME	MULTIVITAMIN W/MINERALS
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	TAURINE STRENGTH: 100 UNITS: MG RIBOFLAVIN STRENGTH: 25 UNITS: MG VITAMIN A STRENGTH: 5000 UNITS: UNIT ZINC STRENGTH: 40 UNITS: MG COPPER STRENGTH: 2 UNITS: MG VITAMIN E STRENGTH: 30 UNITS: UNIT BIOFLAVONOIDS COMPLEX,CITRUS STRENGTH: 125 UNITS: MG SELENIUM STRENGTH: 40 UNITS: MCG GLUTATHIONE STRENGTH: 12.5 UNITS: MG BIOFLAVONOIDS STRENGTH: 125 UNITS: MG BILBERRY EXTRACT STRENGTH: 30 UNITS: MG ZEAXANTHIN STRENGTH: 132 UNITS: MCG ASCORBIC ACID STRENGTH: 60 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	MULTIVITAMIN W/MINERALS 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/OPTH ANTIOXIDANT TAB/CAP
VA PRODUCT IDENTIFIER	O0148
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP/TAB
MASTER ENTRY FOR VUID	YES
VUID	4015481
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE