VIT C 60MG/CYANOCOBALAMIN 5MCG/FE FUMARATE 200MG CAP,SA (6637) VA PRODUCT (50.68)

Name	Value
NAME	VIT C 60MG/CYANOCOBALAMIN 5MCG/FE FUMARATE 200MG CAP,SA
VA GENERIC NAME	ASCORBIC ACID/CYANOCOBALAMIN/FERROUS FUMARATE
DOSAGE FORM	CAP,SA
ACTIVE INGREDIENTS	FERROUS FUMARATE STRENGTH: 200 UNITS: MG CYANOCOBALAMIN STRENGTH: 5 UNITS: MCG ASCORBIC ACID STRENGTH: 60 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2017-12-29 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	ASCORBIC ACID/CYANOCOBALAMIN/FERROUS FUMARATE CAP,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	4007153
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2017-12-29 00:00:00 STATUS: INACTIVE