RENAL MULTIVITAMIN WITH < OR = 1MG FOLIC ACID CAP/TAB (17459) VA PRODUCT (50.68)

Name	Value
NAME	RENAL MULTIVITAMIN WITH < OR = 1MG FOLIC ACID CAP/TAB
VA GENERIC NAME	MULTIVITAMINS
DOSAGE FORM	CAP/TAB
ACTIVE INGREDIENTS	BIOTIN STRENGTH: 150 UNITS: MCG PYRIDOXINE STRENGTH: 10 UNITS: MG CYANOCOBALAMIN STRENGTH: 6 UNITS: MG 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
NATIONAL FORMULARY NAME	MULTIVITAMINS CAP/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	RENAL MULTIVIT W < OR = 1MG FA CAP/TAB
VA PRODUCT IDENTIFIER	R0184
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP/TAB
MASTER ENTRY FOR VUID	YES
VUID	4024891
EFFECTIVE DATE/TIME	2006-01-24 00:00:00 STATUS: ACTIVE 2020-01-15 00:00:00 STATUS: INACTIVE