MULTIVITAMINS/IRON 10MG/FLUORIDE 0.5MG TAB,CHEW (32717)    VA PRODUCT (50.68)

Name Value
NAME MULTIVITAMINS/IRON 10MG/FLUORIDE 0.5MG TAB,CHEW
VA GENERIC NAME MINERALS/MULTIVITAMINS
DOSAGE FORM TAB,CHEWABLE
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME MINERALS/MULTIVITAMINS TAB,CHEWABLE
CREATE DEFAULT POSSIBLE DOSAGE YES
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2023-05-18 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME MULTIVIT/IRON 10MG/FLUOR 0.5MG CHEW TAB
VA PRODUCT IDENTIFIER M1320
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4042246
EFFECTIVE DATE/TIME
  • 2023-05-18 00:00:00
    STATUS:   ACTIVE