S-M-A IRON FORTIFIED,INFANT FORMULA PWDR (9241) VA PRODUCT (50.68)

Name	Value
NAME	S-M-A IRON FORTIFIED,INFANT FORMULA PWDR
VA GENERIC NAME	S-M-A
DOSAGE FORM	POWDER,ORAL
ACTIVE INGREDIENTS	CHLORIDE VITAMIN K RIBOFLAVIN BIOTIN VITAMIN A VITAMIN D CALCIUM IRON STRENGTH: 12 UNITS: MG VITAMIN E MAGNESIUM NIACIN PANTOTHENIC ACID POTASSIUM STRENGTH: 530 UNITS: MG MILK,NONFAT DRY STRENGTH: 15 UNITS: GM CHOLINE OLEO STRENGTH: 36 UNITS: GM CYANOCOBALAMIN LACTOSE STRENGTH: 72 UNITS: GM ASCORBIC ACID THIAMINE SODIUM STRENGTH: 142 UNITS: MG PYRIDOXINE HYDROCHLORIDE FOLIC ACID
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-25 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	S-M-A POWDER,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	INFANT FORMULA SMA IRON FORTIFIED PWD
VA PRODUCT IDENTIFIER	S0073
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4009670
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-25 00:00:00 STATUS: INACTIVE