VITAL HIGH NITROGEN PWDR VANILLA (11735) VA PRODUCT (50.68)

Name	Value
NAME	VITAL HIGH NITROGEN PWDR VANILLA
VA GENERIC NAME	VITAL
DOSAGE FORM	POWDER,ORAL
ACTIVE INGREDIENTS	HISTIDINE ISOLEUCINE METHIONINE PHENYLALANINE THREONINE TRYPTOPHAN TYROSINE VALINE LEUCINE CHLORIDE STRENGTH: 310 UNITS: MG/PKT SAFFLOWER OIL VITAMIN K STRENGTH: 0.016 UNITS: MG/PKT SUCROSE RIBOFLAVIN STRENGTH: 0.68 UNITS: MG/PKT BIOTIN STRENGTH: 0.12 UNITS: MG/PKT VITAMIN D STRENGTH: 80 UNITS: UNIT CALCIUM STRENGTH: 200 UNITS: MG/PKT IRON STRENGTH: 3.6 UNITS: MG/PKT ZINC STRENGTH: 4.5 UNITS: MG/PKT COPPER STRENGTH: 0.4 UNITS: MG/PKT IODINE STRENGTH: 0.03 UNITS: MG/PKT MAGNESIUM STRENGTH: 80 UNITS: MG/PKT VITAMIN A PALMITATE STRENGTH: 1000 UNITS: UNIT PANTOTHENIC ACID STRENGTH: 4 UNITS: MG/PKT COCONUT OIL CORN STARCH,HYDROLYZED PHOSPHORUS STRENGTH: 200 UNITS: MG/PKT POTASSIUM STRENGTH: 420 UNITS: MG/PKT MOLYBDENUM STRENGTH: 0.03 UNITS: MG/PKT CHOLINE STRENGTH: 120 UNITS: MG/PKT MANGANESE STRENGTH: 1 UNITS: MG/PKT SELENIUM STRENGTH: 0.014 UNITS: MG/PKT SOY LECITHIN CHROMIUM STRENGTH: 0.02 UNITS: MG/PKT CYANOCOBALAMIN STRENGTH: 0.0024 UNITS: MG/PKT THIAMINE HYDROCHLORIDE STRENGTH: 0.6 UNITS: MG/PKT ASCORBIC ACID STRENGTH: 60 UNITS: MG/PKT SODIUM STRENGTH: 170 UNITS: MG/PKT PYRIDOXINE HYDROCHLORIDE STRENGTH: 0.8 UNITS: MG/PKT FOLIC ACID STRENGTH: 0.16 UNITS: MG/PKT
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2000-03-28 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	VITAL 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 VITAL HN/VANILLA PWDR
VA PRODUCT IDENTIFIER	N0185
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4012106
EFFECTIVE DATE/TIME	2000-03-28 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE