VIT C 75MG/FE GLUCONATE 500MG/B12 W/INTRINSIC FACTOR 0.5UNT TAB (3690) VA PRODUCT (50.68)

Name	Value
NAME	VIT C 75MG/FE GLUCONATE 500MG/B12 W/INTRINSIC FACTOR 0.5UNT TAB
VA GENERIC NAME	ASCORBIC ACID/CYANOCOBALAMIN/FERROUS GLUCONATE/INTRINSIC FACTOR
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	FERROUS GLUCONATE STRENGTH: 500 UNITS: MG VITAMIN B12 W/INTRINSIC FACTOR CONCENTRATE STRENGTH: 0.5 UNITS: UNIT ASCORBIC ACID STRENGTH: 75 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ASCORBIC ACID/CYANOCOBALAMIN/FERROUS GLUCONATE/INTRINSIC FACTOR TAB
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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4004249
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE