MULTIVITAMINS/FLUORIDE 1MG TAB,CHEWABLE (1647) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS/FLUORIDE 1MG TAB,CHEWABLE
VA GENERIC NAME	FLUORIDE/MULTIVITAMINS
DOSAGE FORM	TAB,CHEWABLE
ACTIVE INGREDIENTS	CALCIUM PANTOTHENATE STRENGTH: 5 UNITS: MG NIACINAMIDE STRENGTH: 18 UNITS: MG RIBOFLAVIN STRENGTH: 2 UNITS: MG THIAMINE MONONITRATE STRENGTH: 2 UNITS: MG FLUORIDE (AS SODIUM FLUORIDE) STRENGTH: 1 UNITS: MG VITAMIN A STRENGTH: 4000 UNITS: UNIT VITAMIN D STRENGTH: 400 UNITS: UNIT CYANOCOBALAMIN STRENGTH: 2 UNITS: MCG ASCORBIC ACID STRENGTH: 75 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	4
NATIONAL FORMULARY NAME	FLUORIDE/MULTIVITAMINS TAB,CHEWABLE
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	MULTIVITAMINS/FLUORIDE 1MG CHEW TAB
VA PRODUCT IDENTIFIER	M0948
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4002239
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-30 00:00:00 STATUS: INACTIVE 2012-06-11 00:00:00 STATUS: ACTIVE