TRIPLE VITAMINS W/FLUORIDE 0.5MG/ML DROPS,ORAL (1644) VA PRODUCT (50.68)

Name	Value
NAME	TRIPLE VITAMINS W/FLUORIDE 0.5MG/ML DROPS,ORAL
VA GENERIC NAME	FLUORIDE/MULTIVITAMINS
DOSAGE FORM	DROPS,ORAL
ACTIVE INGREDIENTS	ERGOCALCIFEROL STRENGTH: 400 UNITS: UNIT/ML VITAMIN A STRENGTH: 1500 UNITS: UNIT/ML VITAMIN D STRENGTH: 400 UNITS: UNIT/ML SODIUM FLUORIDE STRENGTH: 0.5 UNITS: MG/ML VITAMIN A PALMITATE STRENGTH: 1500 UNITS: UNIT/ML FLUORIDE STRENGTH: 0.5 UNITS: MG/ML ASCORBIC ACID STRENGTH: 50 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	0.5
INACTIVATION DATE	2004-11-19 00:00:00
UNITS	MG/ML
DSS NUMBER	23
NATIONAL FORMULARY NAME	FLUORIDE/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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	NO
VUID	4002236
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2004-11-19 00:00:00 STATUS: INACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE