VIT B/VIT C 500MG/FERROUS SO4 525MG/FA 0.8MG TAB,SA (4773) VA PRODUCT (50.68)

Name	Value
NAME	VIT B/VIT C 500MG/FERROUS SO4 525MG/FA 0.8MG TAB,SA
VA GENERIC NAME	IRON/MULTIVITAMINS
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	CALCIUM PANTOTHENATE STRENGTH: 10 UNITS: MG NIACINAMIDE STRENGTH: 30 UNITS: MG RIBOFLAVIN STRENGTH: 6 UNITS: MG THIAMINE MONONITRATE STRENGTH: 6 UNITS: MG FERROUS SULFATE STRENGTH: 525 UNITS: MG CYANOCOBALAMIN STRENGTH: 25 UNITS: MCG SODIUM ASCORBATE STRENGTH: 500 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 5 UNITS: MG FOLIC ACID STRENGTH: 800 UNITS: MCG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-01-20 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	IRON/MULTIVITAMINS TAB,SA
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
VA PRINT NAME	FE SULFATE 525/FA 0.8MG/VIT B&C SA TAB
VA PRODUCT IDENTIFIER	V0027
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4005319
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-03 00:00:00 STATUS: INACTIVE 2008-09-12 00:00:00 STATUS: ACTIVE 2010-01-20 00:00:00 STATUS: INACTIVE