MULTIVITAMINS W/MINERALS,PRENATAL DUET-DHA CAP/TAB PKT,60 (22159) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS W/MINERALS,PRENATAL DUET-DHA CAP/TAB PKT,60
VA GENERIC NAME	MULTIVITAMIN W/MINERALS
DOSAGE FORM	CAP/TAB
ACTIVE INGREDIENTS	ZINC (AS OXIDE) STRENGTH: 25 UNITS: MG CALCIUM (AS CALCIUM CARBONATE) STRENGTH: 219 UNITS: MG NIACINAMIDE STRENGTH: 20 UNITS: MG RIBOFLAVIN STRENGTH: 4 UNITS: MG THIAMINE MONONITRATE STRENGTH: 1.8 UNITS: MG IODINE STRENGTH: 220 UNITS: MCG CHOLECALCIFEROL STRENGTH: 840 UNITS: UNIT COPPER (AS CUPRIC OXIDE) STRENGTH: 2 UNITS: MG MAGNESIUM (AS OXIDE) STRENGTH: 25 UNITS: MG CYANOCOBALAMIN STRENGTH: 12 UNITS: MCG BETA CAROTENE STRENGTH: 2850 UNITS: UNIT TOCOPHEROL,DL-ALPHA STRENGTH: 3 UNITS: MG ASCORBIC ACID STRENGTH: 120 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 50 UNITS: MG FOLIC ACID STRENGTH: 1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
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	MULTIVITAMINS,PRENATAL DUET-DHA PKT,60
VA PRODUCT IDENTIFIER	M0932
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	YES
VUID	4030411
EFFECTIVE DATE/TIME	2011-02-09 00:00:00 STATUS: ACTIVE