VIT B/FE GLUCONATE 50MG/LIVER W/PROCAINE INJ (4936) VA PRODUCT (50.68)

Name	Value
NAME	VIT B/FE GLUCONATE 50MG/LIVER W/PROCAINE INJ
VA GENERIC NAME	IRON/MULTIVITAMINS/PROCAINE
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	CALCIUM PANTOTHENATE STRENGTH: 1.25 UNITS: MG NIACINAMIDE STRENGTH: 50 UNITS: MG RIBOFLAVIN STRENGTH: 0.75 UNITS: MG FERROUS GLUCONATE STRENGTH: 50 UNITS: MG CYANOCOBALAMIN STRENGTH: 15 UNITS: MCG LIVER EXTRACT STRENGTH: 0.1 UNITS: MCG PROCAINE HYDROCHLORIDE STRENGTH: 2 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	IRON/MULTIVITAMINS/PROCAINE INJ,SOLN
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	4005477
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE