ASCORBIC ACID 60MG/FOLIC ACID 1MG/IRON POLY 100MG/5ML SOLN,ORAL (22003) VA PRODUCT (50.68)

Name	Value
NAME	ASCORBIC ACID 60MG/FOLIC ACID 1MG/IRON POLY 100MG/5ML SOLN,ORAL
VA GENERIC NAME	ASCORBIC ACID/FOLIC ACID/IRON
DOSAGE FORM	PWDR,RENST-ORAL
ACTIVE INGREDIENTS	IRON POLYSACCHARIDE COMPLEX STRENGTH: 100 UNITS: MG/5ML ASCORBIC ACID STRENGTH: 60 UNITS: MG/5ML FOLIC ACID STRENGTH: 1 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2017-02-13 00:00:00
NATIONAL FORMULARY NAME	ASCORBIC ACID/FOLIC ACID/IRON PWDR,RENST-ORAL
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	VIT C 60/FA 1/IRON POLY 100MG/5ML SOLN
VA PRODUCT IDENTIFIER	A1575
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4030234
EFFECTIVE DATE/TIME	2010-11-09 00:00:00 STATUS: ACTIVE