VIT B/VIT C/ESTROGENS/FE SO4/METHAMPHETAMINE/ME-TESTOSTERONE CAP (4437) VA PRODUCT (50.68)

Name	Value
NAME	VIT B/VIT C/ESTROGENS/FE SO4/METHAMPHETAMINE/ME-TESTOSTERONE CAP
VA GENERIC NAME	ESTROGENS/IRON/METHAMPHETAMINE/METHYLTESTOSTERONE/MULTIVITAMINS
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	ESTROGENS,CONJUGATED STRENGTH: 0.25 UNITS: MG METHAMPHETAMINE HYDROCHLORIDE STRENGTH: 1 UNITS: MG CALCIUM PANTOTHENATE STRENGTH: 20 UNITS: MG NIACINAMIDE STRENGTH: 50 UNITS: MG RIBOFLAVIN STRENGTH: 5 UNITS: MG THIAMINE MONONITRATE STRENGTH: 10 UNITS: MG METHYLTESTOSTERONE STRENGTH: 2.5 UNITS: MG FERROUS SULFATE,DRIED STRENGTH: 30 UNITS: MG CYANOCOBALAMIN STRENGTH: 2.5 UNITS: MCG ASCORBIC ACID STRENGTH: 100 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 3 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2003-08-01 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ESTROGENS/IRON/METHAMPHETAMINE/METHYLTESTOSTERONE/MULTIVITAMINS CAP,ORAL
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	4004984
EFFECTIVE DATE/TIME	2003-08-01 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE