PERATIVE LIQUID UNFLAVORED (11728) VA PRODUCT (50.68)

Name	Value
NAME	PERATIVE LIQUID UNFLAVORED
VA GENERIC NAME	PERATIVE
DOSAGE FORM	LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS	TAURINE STRENGTH: 130 UNITS: MG/L CHLORIDE STRENGTH: 1650 UNITS: MG/L RIBOFLAVIN STRENGTH: 2.3 UNITS: MG/L VITAMIN D STRENGTH: 347 UNITS: UNIT CALCIUM STRENGTH: 867 UNITS: MG/L IRON STRENGTH: 15.6 UNITS: MG/L ZINC STRENGTH: 19.5 UNITS: MG/L COPPER STRENGTH: 1.74 UNITS: MG/L MAGNESIUM STRENGTH: 347 UNITS: MG/L PANTOTHENIC ACID STRENGTH: 13 UNITS: MG/L CARRAGEENAN PHOSPHORUS STRENGTH: 867 UNITS: MG/L POTASSIUM STRENGTH: 1730 UNITS: MG/L CHOLINE STRENGTH: 520 UNITS: MG/L MANGANESE STRENGTH: 4.34 UNITS: MG/L VITAMIN A (AS ACETATE & BETA CAROTENE) STRENGTH: 8666 UNITS: UNIT THIAMINE HYDROCHLORIDE STRENGTH: 1.95 UNITS: MG/L ASCORBIC ACID STRENGTH: 260 UNITS: MG/L SODIUM STRENGTH: 1040 UNITS: MG/L PYRIDOXINE HYDROCHLORIDE STRENGTH: 2.6 UNITS: MG/L
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	1
NATIONAL FORMULARY NAME	PERATIVE 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 PERATIVE/UNFLAVOR LIQUID
VA PRODUCT IDENTIFIER	P0342
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	240ML CAN
MASTER ENTRY FOR VUID	YES
VUID	4012099
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE