VITAMIN B/LYSINE 275MG SYRUP (6410) VA PRODUCT (50.68)

Name	Value
NAME	VITAMIN B/LYSINE 275MG SYRUP
VA GENERIC NAME	AMINO ACIDS/MULTIVITAMINS
DOSAGE FORM	SYRUP
ACTIVE INGREDIENTS	LYSINE HYDROCHLORIDE STRENGTH: 275 UNITS: MG CALCIUM PANTOTHENATE STRENGTH: 7 UNITS: MG NIACINAMIDE STRENGTH: 35 UNITS: MG RIBOFLAVIN STRENGTH: 4 UNITS: MG CYANOCOBALAMIN STRENGTH: 10 UNITS: MCG THIAMINE HYDROCHLORIDE STRENGTH: 5 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	2
NATIONAL FORMULARY NAME	AMINO ACIDS/MULTIVITAMINS SYRUP
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	4006930
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE