MULTIVITAMIN/MINERALS ANTIOXIDANT CAP/TAB (20036) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMIN/MINERALS ANTIOXIDANT CAP/TAB
VA GENERIC NAME	MULTIVITAMIN W/MINERALS
DOSAGE FORM	CAP/TAB
ACTIVE INGREDIENTS	CHLORIDE RIBOFLAVIN BIOTIN VITAMIN C VITAMIN A ZINC VITAMIN E PYRIDOXINE NIACIN POTASSIUM MANGANESE SELENIUM CHROMIUM CYANOCOBALAMIN NICKEL PHYTONADIONE THIAMINE FOLIC ACID
NATIONAL FORMULARY NAME	MULTIVITAMIN W/MINERALS 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	MULTIVITAMIN/MINERAL ANTIOXIDANT CAP/TAB
VA PRODUCT IDENTIFIER	M0832
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP/TAB
MASTER ENTRY FOR VUID	YES
VUID	4027987
EFFECTIVE DATE/TIME	2008-11-06 00:00:00 STATUS: ACTIVE