MULTIVITAMINS/MINERALS,PRENATAL/DOSS 50MG TAB (6986) VA PRODUCT (50.68)

Name	Value
NAME	MULTIVITAMINS/MINERALS,PRENATAL/DOSS 50MG TAB
VA GENERIC NAME	DOCUSATE/MINERALS/MULTIVITAMINS
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	FERROUS FUMARATE STRENGTH: 0 UNITS: NS NIACINAMIDE STRENGTH: 20 UNITS: MG RIBOFLAVIN STRENGTH: 3.4 UNITS: MG THIAMINE MONONITRATE STRENGTH: 3 UNITS: MG TOCOPHERYL ACETATE,DL-ALPHA STRENGTH: 0 UNITS: NS VITAMIN A ACETATE STRENGTH: 0 UNITS: NS CUPRIC OXIDE STRENGTH: 0 UNITS: NS MAGNESIUM OXIDE STRENGTH: 0 UNITS: NS CALCIUM CARBONATE STRENGTH: 0 UNITS: NS POTASSIUM IODIDE STRENGTH: 0 UNITS: NS VITAMIN D STRENGTH: 400 UNITS: UNIT ZINC SULFATE STRENGTH: 25 UNITS: MG DOCUSATE SODIUM STRENGTH: 50 UNITS: MG CYANOCOBALAMIN STRENGTH: 12 UNITS: MCG ASCORBIC ACID STRENGTH: 100 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 0 UNITS: NS FOLIC ACID STRENGTH: 1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	1
NATIONAL FORMULARY NAME	DOCUSATE/MINERALS/MULTIVITAMINS TAB
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	4007498
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE