PEE WEE'S TAB,CHEWABLE (4817) VA PRODUCT (50.68)

Name	Value
NAME	PEE WEE'S TAB,CHEWABLE
VA GENERIC NAME	IRON/MULTIVITAMINS
DOSAGE FORM	TAB,CHEWABLE
ACTIVE INGREDIENTS	ERGOCALCIFEROL STRENGTH: 400 UNITS: UNIT RIBOFLAVIN STRENGTH: 1.2 UNITS: MG VITAMIN A STRENGTH: 2500 UNITS: UNIT IRON STRENGTH: 15 UNITS: MG PYRIDOXINE STRENGTH: 1.05 UNITS: MG NIACIN STRENGTH: 13.5 UNITS: MG TOCOPHERYL ACETATE,ALPHA STRENGTH: 15 UNITS: UNIT CYANOCOBALAMIN STRENGTH: 4.5 UNITS: MCG ASCORBIC ACID STRENGTH: 50 UNITS: MG THIAMINE STRENGTH: 1.05 UNITS: MG FOLIC ACID STRENGTH: 0.3 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2003-08-01 00:00:00
DSS NUMBER	46
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	4005362
EFFECTIVE DATE/TIME	2003-08-01 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE