SUSTACAL HC LIQUID CHOCOLATE (12127) VA PRODUCT (50.68)

Name	Value
NAME	SUSTACAL HC LIQUID CHOCOLATE
VA GENERIC NAME	SUSTACAL HC
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	POTASSIUM CITRATE CALCIUM CASEINATE SODIUM CASEINATE LECITHIN CORN SYRUP SOLIDS NIACINAMIDE RIBOFLAVIN TOCOPHERYL ACETATE,DL-ALPHA CALCIUM CARBONATE MAGNESIUM PHOSPHATE CHOLECALCIFEROL VITAMIN A PALMITATE CARRAGEENAN CORN OIL SUGAR THIAMINE HYDROCHLORIDE POTASSIUM CHLORIDE SODIUM CITRATE SODIUM ASCORBATE PYRIDOXINE HYDROCHLORIDE FOLIC ACID
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	1999-06-07 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	SUSTACAL HC 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 SUSTACAL HC/CHOCOLATE LIQ
VA PRODUCT IDENTIFIER	N0213
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	240ML CAN
MASTER ENTRY FOR VUID	YES
VUID	4012493
EFFECTIVE DATE/TIME	1999-06-07 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE