TWOCAL HN LIQUID VANILLA (11726) VA PRODUCT (50.68)

Name	Value
NAME	TWOCAL HN LIQUID VANILLA
VA GENERIC NAME	TWOCAL
DOSAGE FORM	LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS	CHLORIDE STRENGTH: 390 UNITS: MG/240ML VITAMIN K STRENGTH: 20 UNITS: MCG/240ML SUCROSE CALCIUM CASEINATE SODIUM CASEINATE RIBOFLAVIN STRENGTH: 0.68 UNITS: MG/240ML BIOTIN STRENGTH: 120 UNITS: MCG/240ML VITAMIN D STRENGTH: 100 UNITS: UNIT/240ML CALCIUM STRENGTH: 250 UNITS: MG/240ML IRON STRENGTH: 4.5 UNITS: MG/240ML ZINC STRENGTH: 5.63 UNITS: MG/240ML COPPER STRENGTH: 0.5 UNITS: MG/240ML IODINE STRENGTH: 37.5 UNITS: MCG/240ML MAGNESIUM STRENGTH: 100 UNITS: MG/240ML VITAMIN A PALMITATE STRENGTH: 1250 UNITS: UNIT/240ML PANTOTHENIC ACID STRENGTH: 4 UNITS: MG/240ML COCONUT OIL CORN OIL CORN STARCH,HYDROLYZED PHOSPHORUS STRENGTH: 250 UNITS: MG/240ML POTASSIUM STRENGTH: 580 UNITS: MG/240ML MOLYBDENUM STRENGTH: 38 UNITS: MCG/240ML CHOLINE STRENGTH: 150 UNITS: MG/240ML MANGANESE STRENGTH: 1.25 UNITS: MG/240ML SELENIUM STRENGTH: 18 UNITS: MCG/240ML SOY LECITHIN CHROMIUM STRENGTH: 25 UNITS: MCG/240ML CYANOCOBALAMIN STRENGTH: 2.4 UNITS: MCG/240ML PHYTONADIONE THIAMINE HYDROCHLORIDE STRENGTH: 0.6 UNITS: MG/240ML ASCORBIC ACID STRENGTH: 75 UNITS: MG/240ML SODIUM STRENGTH: 310 UNITS: MG/240ML PYRIDOXINE HYDROCHLORIDE STRENGTH: 0.8 UNITS: MG/240ML FOLIC ACID STRENGTH: 160 UNITS: MCG/240ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	1
NATIONAL FORMULARY NAME	TWOCAL 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 TWOCAL HN/VANILLA LIQUID
VA PRODUCT IDENTIFIER	T0228
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	240ML CAN
MASTER ENTRY FOR VUID	YES
VUID	4012097
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE