MULTIVITAMINS (SF) LIQUID (1514) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS (SF) LIQUID
VA GENERIC NAME	MULTIVITAMINS
DOSAGE FORM	LIQUID(SF)
ACTIVE INGREDIENTS	RIBOFLAVIN STRENGTH: 1.2 UNITS: MG/5ML VITAMIN A STRENGTH: 2500 UNITS: UNIT/5ML VITAMIN D STRENGTH: 400 UNITS: UNIT/5ML VITAMIN E STRENGTH: 15 UNITS: UNIT/5ML PYRIDOXINE STRENGTH: 1.05 UNITS: MG/5ML NIACIN STRENGTH: 3.5 UNITS: MG/5ML CYANOCOBALAMIN STRENGTH: 4.5 UNITS: MCG/5ML ASCORBIC ACID STRENGTH: 60 UNITS: MG/5ML THIAMINE STRENGTH: 1.05 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2018-01-17 00:00:00
DSS NUMBER	58
NATIONAL FORMULARY NAME	MULTIVITAMINS LIQUID(SF)
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 (SF) LIQUID
VA PRODUCT IDENTIFIER	M0231
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4002111
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2018-01-17 00:00:00 STATUS: INACTIVE