S-M-A LO-IRON,INFANT FORMULA LIQUID (9246) VA PRODUCT (50.68)

Name	Value
NAME	S-M-A LO-IRON,INFANT FORMULA LIQUID
VA GENERIC NAME	S-M-A
DOSAGE FORM	LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS	VITAMIN K MILK,NONFAT STRENGTH: 15 UNITS: GM RIBOFLAVIN BIOTIN VITAMIN A VITAMIN D CALCIUM IRON STRENGTH: 1.4 UNITS: MG VITAMIN E NIACIN PANTOTHENIC ACID PHOSPHORUS POTASSIUM STRENGTH: 530 UNITS: MG 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	6
NATIONAL FORMULARY NAME	S-M-A LIQUID,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 LO-IRON LIQUID
VA PRODUCT IDENTIFIER	S0075
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAN
MASTER ENTRY FOR VUID	YES
VUID	4009675
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-25 00:00:00 STATUS: INACTIVE