RENAL MULTIVIT W/1MG OR LESS FOLIC ACID CAP (29634) VA PRODUCT (50.68)

Name	Value
NAME	RENAL MULTIVIT W/1MG OR LESS FOLIC ACID CAP
VA GENERIC NAME	MULTIVITAMINS
DOSAGE FORM	CAP,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	BIOTIN PYRIDOXINE CYANOCOBALAMIN ASCORBIC ACID THIAMINE FOLIC ACID
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	MULTIVITAMINS CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2019-10-22 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	RENAL MULTIVIT W/1MG OR LESS FA CAP
VA PRODUCT IDENTIFIER	R0399
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4038835
EFFECTIVE DATE/TIME	2019-10-23 00:00:00 STATUS: ACTIVE