ENSURE HN LIQUID CHOCOLATE (10223) VA PRODUCT (50.68)

Name	Value
NAME	ENSURE HN LIQUID CHOCOLATE
VA GENERIC NAME	ENSURE
DOSAGE FORM	LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS	CHLORIDE STRENGTH: 310 UNITS: MG RIBOFLAVIN STRENGTH: 0.46 UNITS: MG BIOTIN STRENGTH: 81 UNITS: MCG VITAMIN A STRENGTH: 893 UNITS: UNIT VITAMIN D STRENGTH: 72 UNITS: UNIT CALCIUM STRENGTH: 179 UNITS: MG ZINC STRENGTH: 4.02 UNITS: MG COPPER STRENGTH: 0.36 UNITS: MG IODINE STRENGTH: 26.8 UNITS: MCG PYRIDOXINE STRENGTH: 0.54 UNITS: MG MAGNESIUM STRENGTH: 71.5 UNITS: MG PANTOTHENIC ACID STRENGTH: 2.68 UNITS: MG PHOSPHORUS STRENGTH: 179 UNITS: MG POTASSIUM STRENGTH: 370 UNITS: MG CHOLINE STRENGTH: 107 UNITS: MG MANGANESE STRENGTH: 0.89 UNITS: MG CYANOCOBALAMIN STRENGTH: 1.7 UNITS: MCG PHYTONADIONE STRENGTH: 15 UNITS: MCG ASCORBIC ACID STRENGTH: 53.6 UNITS: MG THIAMINE STRENGTH: 0.41 UNITS: MG SODIUM STRENGTH: 190 UNITS: MG FOLIC ACID STRENGTH: 108 UNITS: MCG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	12
NATIONAL FORMULARY NAME	ENSURE 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	NUTRITION SUPL ENSURE HN/CHOC LIQUID
VA PRODUCT IDENTIFIER	E0176
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	240ML CAN
MASTER ENTRY FOR VUID	YES
VUID	4010598
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE