MULTIVITAMINS/FLUORIDE 0.25MG/5ML LIQUID (1660) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS/FLUORIDE 0.25MG/5ML LIQUID
VA GENERIC NAME	FLUORIDE/MULTIVITAMINS
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	ERGOCALCIFEROL STRENGTH: 400 UNITS: UNIT NIACINAMIDE STRENGTH: 13.5 UNITS: MG RIBOFLAVIN STRENGTH: 1.2 UNITS: MG VITAMIN E STRENGTH: 15 UNITS: UNIT VITAMIN A PALMITATE FLUORIDE STRENGTH: 0.25 UNITS: MG CYANOCOBALAMIN STRENGTH: 4.5 UNITS: MCG THIAMINE HYDROCHLORIDE STRENGTH: 1.05 UNITS: MG ASCORBIC ACID STRENGTH: 60 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 1.05 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2019-11-15 00:00:00
DSS NUMBER	17
NATIONAL FORMULARY NAME	FLUORIDE/MULTIVITAMINS LIQUID,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	MULTIVITAMINS/FLUORIDE 0.25MG/5ML LIQUID
VA PRODUCT IDENTIFIER	M0753
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4002250
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2019-11-15 00:00:00 STATUS: INACTIVE