FERROUS SULFATE 90MG/5ML SYRUP (7770) VA PRODUCT (50.68)

Name	Value
NAME	FERROUS SULFATE 90MG/5ML SYRUP
VA GENERIC NAME	FERROUS SULFATE
DOSAGE FORM	SYRUP
ACTIVE INGREDIENTS	ALCOHOL STRENGTH: 5 UNITS: % FERROUS SULFATE STRENGTH: 90 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	90
INACTIVATION DATE	2007-09-19 00:00:00
UNITS	MG/5ML
DSS NUMBER	18
NATIONAL FORMULARY NAME	FERROUS SULFATE 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	4008249
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-19 00:00:00 STATUS: INACTIVE