PROMOD PWDR,ORAL (11729) VA PRODUCT (50.68)

Name	Value
NAME	PROMOD PWDR,ORAL
VA GENERIC NAME	PROMOD
DOSAGE FORM	POWDER,ORAL
ACTIVE INGREDIENTS	ALANINE STRENGTH: 53 UNITS: MG/GM ARGININE STRENGTH: 26 UNITS: MG/GM HISTIDINE STRENGTH: 19 UNITS: MG/GM ISOLEUCINE STRENGTH: 62 UNITS: MG/GM METHIONINE STRENGTH: 22 UNITS: MG/GM PHENYLALANINE STRENGTH: 36 UNITS: MG/GM PROLINE STRENGTH: 65 UNITS: MG/GM SERINE STRENGTH: 56 UNITS: MG/GM THREONINE STRENGTH: 73 UNITS: MG/GM TRYPTOPHAN STRENGTH: 19 UNITS: MG/GM TYROSINE STRENGTH: 34 UNITS: MG/GM VALINE STRENGTH: 60 UNITS: MG/GM ASPARTIC ACID STRENGTH: 112 UNITS: MG/GM GLUTAMIC ACID STRENGTH: 182 UNITS: MG/GM LYSINE STRENGTH: 93 UNITS: MG/GM LEUCINE STRENGTH: 108 UNITS: MG/GM CYSTINE STRENGTH: 26 UNITS: MG/GM GLYCINE STRENGTH: 21 UNITS: MG/GM
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	1
NATIONAL FORMULARY NAME	PROMOD POWDER,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 PROMOD PWDR
VA PRODUCT IDENTIFIER	N0184
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4012100
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE