AMINO ACIDS/MULTIVITAMINS/MINERALS LIQUID (7521) VA PRODUCT (50.68)

Name	Value
NAME	AMINO ACIDS/MULTIVITAMINS/MINERALS LIQUID
VA GENERIC NAME	AMINO ACIDS/MINERALS/MULTIVITAMINS
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	FERRIC AMMONIUM CITRATE STRENGTH: 40 UNITS: MG AMMONIUM CHLORIDE STRENGTH: 1 UNITS: MG LYSINE HYDROCHLORIDE STRENGTH: 100 UNITS: MG RIBOFLAVIN STRENGTH: 1.2 UNITS: MG ZINC SULFATE STRENGTH: 1 UNITS: MG NIACIN STRENGTH: 5 UNITS: MG PANTHENOL STRENGTH: 1 UNITS: MG MANGANESE SULFATE STRENGTH: 1 UNITS: MG POTASSIUM SULFATE STRENGTH: 1 UNITS: MG CYANOCOBALAMIN STRENGTH: 5 UNITS: MCG THIAMINE HYDROCHLORIDE STRENGTH: 12 UNITS: MG MAGNESIUM SULFATE STRENGTH: 1 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 0.5 UNITS: MG FOLIC ACID STRENGTH: 1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	1
NATIONAL FORMULARY NAME	AMINO ACIDS/MINERALS/MULTIVITAMINS LIQUID,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	4008025
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE 2012-09-10 00:00:00 STATUS: ACTIVE