MULTIVITAMINS,HERBAL,RENAL FORMULA CAP/TAB (20710) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS,HERBAL,RENAL FORMULA CAP/TAB
VA GENERIC NAME	MULTIVITAMIN,HERBAL
DOSAGE FORM	CAP/TAB
ACTIVE INGREDIENTS	VITAMIN C STRENGTH: 1.7 UNITS: MG VITAMIN A STRENGTH: 2 UNITS: UNIT
NATIONAL FORMULARY NAME	MULTIVITAMIN,HERBAL 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	MULTIVIT,HERBAL,RENAL FORMULA CAP/TAB
VA PRODUCT IDENTIFIER	M0873
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP/TAB
MASTER ENTRY FOR VUID	YES
VUID	4028749
EFFECTIVE DATE/TIME	2009-07-09 00:00:00 STATUS: ACTIVE