MULTIVITAMINS/FERROUS SO4 110MG/GLYCINE 175MG CAP (6595) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS/FERROUS SO4 110MG/GLYCINE 175MG CAP
VA GENERIC NAME	AMINO ACID/IRON/MULTIVITAMINS
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	NIACINAMIDE STRENGTH: 5 UNITS: MG RIBOFLAVIN STRENGTH: 1 UNITS: MG FERROUS SULFATE STRENGTH: 100 UNITS: MG LIVER WITH STOMACH STRENGTH: 150 UNITS: MG CYANOCOBALAMIN STRENGTH: 0.85 UNITS: MCG GLYCINE STRENGTH: 175 UNITS: MG ASCORBIC ACID STRENGTH: 120 UNITS: MG THIAMINE STRENGTH: 5 UNITS: MG FOLIC ACID STRENGTH: 0.25 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	AMINO ACID/IRON/MULTIVITAMINS CAP,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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4007111
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE