NEPHROCAPS CAP (1568) VA PRODUCT (50.68)

Name	Value
NAME	NEPHROCAPS CAP
VA GENERIC NAME	MULTIVITAMINS
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	RIBOFLAVIN STRENGTH: 1.7 UNITS: MG BIOTIN STRENGTH: 150 UNITS: MCG PYRIDOXINE STRENGTH: 10 UNITS: MG PANTOTHENIC ACID STRENGTH: 5 UNITS: MG CYANOCOBALAMIN STRENGTH: 6 UNITS: MCG ASCORBIC ACID STRENGTH: 100 UNITS: MG THIAMINE STRENGTH: 1.5 UNITS: MG FOLIC ACID STRENGTH: 1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2020-01-15 00:00:00
DSS NUMBER	113
NATIONAL FORMULARY NAME	MULTIVITAMINS CAP,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	NEPHROCAPS CAP
VA PRODUCT IDENTIFIER	N0230
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4002161
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2020-01-15 00:00:00 STATUS: INACTIVE