ICAPS AREDS FORMULA TAB,SA (16890) VA PRODUCT (50.68)

Name	Value
NAME	ICAPS AREDS FORMULA TAB,SA
VA GENERIC NAME	MULTIVITAMINS
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	VITAMIN A STRENGTH: 28640 UNITS: UNIT ZINC STRENGTH: 69.6 UNITS: MG COPPER STRENGTH: 1.6 UNITS: MG VITAMIN E STRENGTH: 400 UNITS: UNIT ASCORBIC ACID STRENGTH: 452 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-03-12 00:00:00
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
VA PRINT NAME	ICAPS AREDS FORMULA SA TAB
VA PRODUCT IDENTIFIER	I0381
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4017253
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-03-12 00:00:00 STATUS: INACTIVE