VIT B/VIT C 250MG/FE FUMARATE 200MG/STOMACH EXT CAP (4783) VA PRODUCT (50.68)

Name	Value
NAME	VIT B/VIT C 250MG/FE FUMARATE 200MG/STOMACH EXT CAP
VA GENERIC NAME	IRON/MULTIVITAMINS
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	STOMACH EXTRACT STRENGTH: 100 UNITS: MG FERROUS FUMARATE STRENGTH: 200 UNITS: MG CYANOCOBALAMIN STRENGTH: 10 UNITS: MCG ASCORBIC ACID STRENGTH: 250 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-03 00:00:00
DSS NUMBER	12
NATIONAL FORMULARY NAME	IRON/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
VA PRINT NAME	CHROMAGEN CAP
VA PRODUCT IDENTIFIER	V0146
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4005329
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-03 00:00:00 STATUS: INACTIVE