MULTIVITAMINS W/IRON TAB,CHEWABLE (4814) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS W/IRON TAB,CHEWABLE
VA GENERIC NAME	IRON/MULTIVITAMINS
DOSAGE FORM	TAB,CHEWABLE
ACTIVE INGREDIENTS	RIBOFLAVIN STRENGTH: 1.2 UNITS: MG THIAMINE MONONITRATE STRENGTH: 1.05 UNITS: MG VITAMIN A STRENGTH: 25000 UNITS: UNIT VITAMIN D STRENGTH: 400 UNITS: UNIT IRON STRENGTH: 15 UNITS: MG VITAMIN E STRENGTH: 15 UNITS: UNIT NIACIN STRENGTH: 1.5 UNITS: MG CYANOCOBALAMIN STRENGTH: 4.5 UNITS: MG ASCORBIC ACID STRENGTH: 60 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 1.05 UNITS: MG FOLIC ACID STRENGTH: 0.3 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2022-09-15 00:00:00
DSS NUMBER	43
NATIONAL FORMULARY NAME	IRON/MULTIVITAMINS TAB,CHEWABLE
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	4001858
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2022-09-15 00:00:00 STATUS: INACTIVE