VIT C 500MG/FERROUS SO4 525MG/FA 800MCG TAB,SA (5758) VA PRODUCT (50.68)

Name	Value
NAME	VIT C 500MG/FERROUS SO4 525MG/FA 800MCG TAB,SA
VA GENERIC NAME	ASCORBIC ACID/FERROUS SULFATE/FOLIC ACID
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	FERROUS SULFATE STRENGTH: 525 UNITS: MG SODIUM ASCORBATE STRENGTH: 500 UNITS: MG FOLIC ACID STRENGTH: 800 UNITS: MCG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	1
NATIONAL FORMULARY NAME	ASCORBIC ACID/FERROUS SULFATE/FOLIC ACID TAB,SA
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	4006283
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE