IRON (POLY/COMPLEX) 150MG/FA 1MG/B12 25MCG/VIT C 60MG CAP (18059) VA PRODUCT (50.68)

Name	Value
NAME	IRON (POLY/COMPLEX) 150MG/FA 1MG/B12 25MCG/VIT C 60MG CAP
VA GENERIC NAME	IRON/MULTIVITAMINS
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	IRON (AS POLYSACCHARIDE COMPLEX) STRENGTH: 150 UNITS: MG CYANOCOBALAMIN STRENGTH: 25 UNITS: MCG ASCORBIC ACID STRENGTH: 60 UNITS: MG FOLIC ACID STRENGTH: 1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-20 00:00:00
NATIONAL FORMULARY NAME	IRON/MULTIVITAMINS CAP,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	IRON 150/FA 1/B12 25MCG/VIT C 60MG CAP
VA PRODUCT IDENTIFIER	I0447
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4025790
EFFECTIVE DATE/TIME	2007-01-25 00:00:00 STATUS: ACTIVE 2007-09-20 00:00:00 STATUS: INACTIVE