FERRALET PLUS TAB (9206) VA PRODUCT (50.68)

Name	Value
NAME	FERRALET PLUS TAB
VA GENERIC NAME	ASCORBIC ACID/CYANOCOBALAMIN/FERROUS GLUCONATE/FOLIC ACID/GOLD
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	GOLD FERROUS GLUCONATE STRENGTH: 46 UNITS: MG CYANOCOBALAMIN STRENGTH: 25 UNITS: MCG ASCORBIC ACID STRENGTH: 400 UNITS: MG FOLIC ACID STRENGTH: 0.8 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2003-08-01 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ASCORBIC ACID/CYANOCOBALAMIN/FERROUS GLUCONATE/FOLIC ACID/GOLD 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	4009636
EFFECTIVE DATE/TIME	2003-08-01 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE