ENSURE PUDDING (CHOCOLATE) (10212) VA PRODUCT (50.68)

Name	Value
NAME	ENSURE PUDDING (CHOCOLATE)
VA GENERIC NAME	ENSURE
DOSAGE FORM	PUDDING
ACTIVE INGREDIENTS	CHLORIDE STRENGTH: 220 UNITS: MG VITAMIN K STRENGTH: 12 UNITS: MCG MILK,NONFAT RIBOFLAVIN STRENGTH: 0.29 UNITS: MG BIOTIN STRENGTH: 51 UNITS: MCG CALCIUM STRENGTH: 200 UNITS: MG IRON STRENGTH: 3.06 UNITS: MG ZINC STRENGTH: 3.83 UNITS: MG COPPER STRENGTH: 0.34 UNITS: MG IODINE STRENGTH: 25 UNITS: MCG MAGNESIUM STRENGTH: 68 UNITS: MG VITAMIN A PALMITATE STRENGTH: 850 UNITS: UNIT PANTOTHENIC ACID STRENGTH: 1.7 UNITS: MG PHOSPHORUS STRENGTH: 200 UNITS: MG POTASSIUM STRENGTH: 330 UNITS: MG CHOLINE STRENGTH: 25 UNITS: MG MANGANESE STRENGTH: 0.85 UNITS: MG CYANOCOBALAMIN STRENGTH: 1.1 UNITS: MCG PHYTONADIONE THIAMINE HYDROCHLORIDE STRENGTH: 0.26 UNITS: MG ASCORBIC ACID STRENGTH: 15.4 UNITS: MG SODIUM STRENGTH: 240 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 0.34 UNITS: MG FOLIC ACID STRENGTH: 68 UNITS: MCG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	1
NATIONAL FORMULARY NAME	ENSURE PUDDING
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	NUTRITION SUPL ENSURE/CHOCOLATE PUDDING
VA PRODUCT IDENTIFIER	E0184
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4010587
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE