| NAME |
ICAPS MV TAB,EC |
| VA GENERIC NAME |
MULTIVITAMIN W/MINERALS |
| DOSAGE FORM |
TAB,EC |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| NATIONAL FORMULARY NAME |
MULTIVITAMIN W/MINERALS TAB,EC |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ICAPS MV EC TAB |
| VA PRODUCT IDENTIFIER |
I0466 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4028056 |
| EFFECTIVE DATE/TIME |
-
- 2008-12-10 00:00:00
- STATUS: ACTIVE
-
- 2010-03-12 00:00:00
- STATUS: INACTIVE
|
