MULTIVITAMINS/FLUORIDE 0.25MG TAB,CHEWABLE (27434) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS/FLUORIDE 0.25MG TAB,CHEWABLE
VA GENERIC NAME	FLUORIDE/MULTIVITAMINS
DOSAGE FORM	TAB,CHEWABLE
ACTIVE INGREDIENTS	FLUORIDE (AS SODIUM FLUORIDE) STRENGTH: 0.25 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	FLUORIDE/MULTIVITAMINS TAB,CHEWABLE
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/FLUORIDE 0.25MG CHEW TAB
VA PRODUCT IDENTIFIER	M1156
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4036345
EFFECTIVE DATE/TIME	2017-01-12 00:00:00 STATUS: ACTIVE