IRON/MULTIVITAMINS LIQUID (4832) VA PRODUCT (50.68)

Name	Value
NAME	IRON/MULTIVITAMINS LIQUID
VA GENERIC NAME	IRON/MULTIVITAMINS
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	RIBOFLAVIN STRENGTH: 1.2 UNITS: MG/5ML VITAMIN A STRENGTH: 2500 UNITS: UNIT/5ML VITAMIN D STRENGTH: 400 UNITS: UNIT/5ML IRON STRENGTH: 10 UNITS: MG/5ML PYRIDOXINE STRENGTH: 1.05 UNITS: MG/5ML CYANOCOBALAMIN STRENGTH: 4.5 UNITS: MCG/5ML ASCORBIC ACID STRENGTH: 60 UNITS: MG/5ML THIAMINE STRENGTH: 1.05 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	61
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
VA PRINT NAME	IRON/MULTIVITAMINS LIQUID
VA PRODUCT IDENTIFIER	I0455
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4005375
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE