PULMOCARE LIQUID TUBE FEEDING (11733) VA PRODUCT (50.68)

Name	Value
NAME	PULMOCARE LIQUID TUBE FEEDING
VA GENERIC NAME	PULMOCARE
DOSAGE FORM	LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS	CHLORIDE STRENGTH: 400 UNITS: MG/240ML VITAMIN K STRENGTH: 20 UNITS: MCG/240ML SUCROSE CALCIUM CASEINATE SODIUM CASEINATE RIBOFLAVIN STRENGTH: 0.85 UNITS: MG/240ML BIOTIN STRENGTH: 150 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: 5 UNITS: MG/240ML CARRAGEENAN CORN OIL CORN STARCH,HYDROLYZED PHOSPHORUS STRENGTH: 250 UNITS: MG/240ML POTASSIUM STRENGTH: 410 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: 3 UNITS: MCG/240ML PHYTONADIONE THIAMINE HYDROCHLORIDE STRENGTH: 0.75 UNITS: MG/240ML ASCORBIC ACID STRENGTH: 75 UNITS: MG/240ML SODIUM STRENGTH: 310 UNITS: MG/240ML PYRIDOXINE HYDROCHLORIDE STRENGTH: 1 UNITS: MG/240ML FOLIC ACID STRENGTH: 200 UNITS: MCG/240ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	3
NATIONAL FORMULARY NAME	PULMOCARE 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 PULMOCARE/TUBE FEEDING
VA PRODUCT IDENTIFIER	P0344
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	1000ML
MASTER ENTRY FOR VUID	YES
VUID	4012104
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE