VIT B/VIT C 150MG/FE SUMALATE 70MG/STOMACH EXT CAP (19207) VA PRODUCT (50.68)

Name	Value
NAME	VIT B/VIT C 150MG/FE SUMALATE 70MG/STOMACH EXT CAP
VA GENERIC NAME	IRON/MULTIVITAMINS
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	STOMACH EXTRACT STRENGTH: 50 UNITS: MG CYANOCOBALAMIN STRENGTH: 10 UNITS: MCG IRON SUMALATE STRENGTH: 70 UNITS: MG ASCORBIC ACID STRENGTH: 150 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	IRON/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	CHROMAGEN TAB
VA PRODUCT IDENTIFIER	V0174
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4027055
EFFECTIVE DATE/TIME	2008-02-05 00:00:00 STATUS: ACTIVE