TRIPLE VITAMINS/FLUORIDE 0.25MG/IRON 10MG/ML DROPS,ORAL (9220) VA PRODUCT (50.68)

Name	Value
NAME	TRIPLE VITAMINS/FLUORIDE 0.25MG/IRON 10MG/ML DROPS,ORAL
VA GENERIC NAME	FLUORIDE/IRON/VITAMIN A/VITAMIN C/VITAMIN D
DOSAGE FORM	DROPS,ORAL
ACTIVE INGREDIENTS	VITAMIN A STRENGTH: 1500 UNITS: UNIT/ML VITAMIN D STRENGTH: 400 UNITS: UNIT/ML IRON STRENGTH: 10 UNITS: MG/ML FLUORIDE STRENGTH: 0.25 UNITS: MG/ML ASCORBIC ACID STRENGTH: 35 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	FLUORIDE/IRON/VITAMIN A/VITAMIN C/VITAMIN D DROPS,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	4009650
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE