FRUITY CHEWS TAB (1531) VA PRODUCT (50.68)

Name	Value
NAME	FRUITY CHEWS TAB
VA GENERIC NAME	MULTIVITAMINS
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	ERGOCALCIFEROL STRENGTH: 400 UNITS: IU RIBOFLAVIN STRENGTH: 1.2 UNITS: MG VITAMIN A STRENGTH: 2500 UNITS: IU NIACIN STRENGTH: 13.5 UNITS: MG TOCOPHERYL ACETATE,ALPHA STRENGTH: 15 UNITS: MG CYANOCOBALAMIN STRENGTH: 4.5 UNITS: MCG ASCORBIC ACID STRENGTH: 60 UNITS: MG THIAMINE STRENGTH: 1.05 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 1.05 UNITS: MG FOLIC ACID STRENGTH: 0.3 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2020-11-16 00:00:00
DSS NUMBER	75
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	FRUITY CHEWS TAB
VA PRODUCT IDENTIFIER	F0539
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4002128
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2020-11-16 00:00:00 STATUS: INACTIVE 2020-11-16 00:00:00 STATUS: INACTIVE 2020-11-16 00:00:00 STATUS: INACTIVE