BARIATRIC MULTIVITAMINS W/IRON CAP (31919) VA PRODUCT (50.68)

Name	Value
NAME	BARIATRIC MULTIVITAMINS W/IRON CAP
VA GENERIC NAME	IRON/MULTIVITAMINS
DOSAGE FORM	CAP,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	VITAMIN K BIOTIN CALCIUM IRON PYRIDOXINE NIACIN CYANOCOBALAMIN ASCORBIC ACID THIAMINE FOLIC ACID
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	IRON/MULTIVITAMINS CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2022-04-25 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	BARIATRIC MULTIVITAMINS W/IRON CAP
VA PRODUCT IDENTIFIER	B0936
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4041365
EFFECTIVE DATE/TIME	2022-04-25 00:00:00 STATUS: ACTIVE