IRON (POLYSACCHARIDE) 125MG/VITAMIN D3 100UNIT/5ML LIQUID,ORAL (32238) VA PRODUCT (50.68)

Name	Value
NAME	IRON (POLYSACCHARIDE) 125MG/VITAMIN D3 100UNIT/5ML LIQUID,ORAL
VA GENERIC NAME	IRON/VITAMIN D
DOSAGE FORM	LIQUID,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	CHOLECALCIFEROL STRENGTH: 100 UNITS: UNIT/5ML IRON POLYSACCHARIDE COMPLEX STRENGTH: 125 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	IRON/VITAMIN D LIQUID,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2022-09-19 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	IRON 125MG/VIT D3 100UNIT/5ML ORAL LIQ
VA PRODUCT IDENTIFIER	I0747
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4041705
EFFECTIVE DATE/TIME	2022-09-19 00:00:00 STATUS: ACTIVE