VITAMIN B COMPLEX W/C & B-12 TAB (1563) VA PRODUCT (50.68)

Name	Value
NAME	VITAMIN B COMPLEX W/C & B-12 TAB
VA GENERIC NAME	MULTIVITAMINS
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	RIBOFLAVIN STRENGTH: 15 UNITS: MG PYRIDOXINE STRENGTH: 4 UNITS: MG NIACIN STRENGTH: 100 UNITS: MG PANTOTHENIC ACID STRENGTH: 15 UNITS: MG CYANOCOBALAMIN STRENGTH: 5 UNITS: MCG ASCORBIC ACID STRENGTH: 500 UNITS: MG THIAMINE STRENGTH: 15 UNITS: MG FOLIC ACID STRENGTH: 0.5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	108
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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4002158
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE