VITAMIN B COMPLEX W/C,ZINC,FOLIC (DIATX ZN) TAB (17551) VA PRODUCT (50.68)

Name	Value
NAME	VITAMIN B COMPLEX W/C,ZINC,FOLIC (DIATX ZN) TAB
VA GENERIC NAME	MULTIVITAMINS/ZINC
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	BIOTIN STRENGTH: 300 UNITS: MCG PYRIDOXINE STRENGTH: 50 UNITS: MG CYANOCOBALAMIN STRENGTH: 1 UNITS: MG ASCORBIC ACID STRENGTH: 60 UNITS: MG THIAMINE STRENGTH: 1.5 UNITS: MG FOLIC ACID STRENGTH: 5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	MULTIVITAMINS/ZINC TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00 COPAY END DATE: 2018-06-14 00:00:00 COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2018-06-15 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	VITAMIN B W/C,ZINC,FOLIC (DIATX ZN) TAB
VA PRODUCT IDENTIFIER	V0148
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4025052
EFFECTIVE DATE/TIME	2006-03-28 00:00:00 STATUS: ACTIVE