VITAMIN B/FERRIC PYROPHOSPHATE 100MG/FA 0.25MG LIQUID (4781) VA PRODUCT (50.68)

Name	Value
NAME	VITAMIN B/FERRIC PYROPHOSPHATE 100MG/FA 0.25MG LIQUID
VA GENERIC NAME	IRON/MULTIVITAMINS
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	NIACINAMIDE STRENGTH: 13.3 UNITS: MG FERRIC PYROPHOSPHATE STRENGTH: 100 UNITS: MG CYANOCOBALAMIN STRENGTH: 8.34 UNITS: MCG PYRIDOXINE HYDROCHLORIDE STRENGTH: 2 UNITS: MG FOLIC ACID STRENGTH: 0.25 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	10
NATIONAL FORMULARY NAME	IRON/MULTIVITAMINS LIQUID,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	4005327
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE