VITAMIN B COMPLEX W/C & FOLIC (DEXFOL) TAB (19052)    VA PRODUCT (50.68)

Name Value
NAME VITAMIN B COMPLEX W/C & FOLIC (DEXFOL) TAB
VA GENERIC NAME MULTIVITAMINS
DOSAGE FORM CAP/TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
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 VITAMIN B COMP W/C & FOLIC (DEXFOL) TAB
VA PRODUCT IDENTIFIER V0173
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4026890
EFFECTIVE DATE/TIME
  • 2007-12-20 00:00:00
    STATUS:   ACTIVE