GLUCERNA LIQUID VANILLA (11719)    VA PRODUCT (50.68)

Name Value
NAME GLUCERNA LIQUID VANILLA
VA GENERIC NAME GLUCERNA
DOSAGE FORM LIQUID,NUTRITIONAL SUPPLEMENT
HAZARDOUS TO DISPOSE NO
DOT SHIPPING CODE
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2012-03-26 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME GLUCERNA LIQUID
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 GLUCERNA/VANILLA LIQUID
VA PRODUCT IDENTIFIER G0101
TRANSMIT TO CMOP YES
VA DISPENSE UNIT 240ML CAN
MASTER ENTRY FOR VUID YES
VUID 4012090
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2012-03-26 00:00:00
    STATUS:   INACTIVE
  • 2012-03-26 00:00:00
    STATUS:   INACTIVE
  • 2012-03-26 00:00:00
    STATUS:   INACTIVE
  • 2012-03-26 00:00:00
    STATUS:   INACTIVE