VIT A 1500UNT/VIT C 35MG/VIT D 400UNT/ML DROPS,ORAL (1558) VA PRODUCT (50.68)

Name	Value
NAME	VIT A 1500UNT/VIT C 35MG/VIT D 400UNT/ML DROPS,ORAL
VA GENERIC NAME	MULTIVITAMINS
DOSAGE FORM	DROPS,ORAL
ACTIVE INGREDIENTS	VITAMIN A STRENGTH: 1500 UNITS: UNIT/ML VITAMIN D STRENGTH: 400 UNITS: UNIT/ML ASCORBIC ACID STRENGTH: 35 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	102
NATIONAL FORMULARY NAME	MULTIVITAMINS DROPS,ORAL
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	TRI-VI-SOL ORAL DROPS
VA PRODUCT IDENTIFIER	T0953
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4002153
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE