CHOICE DM LIQUID,BOTTLE,1000ML (12463) VA PRODUCT (50.68)

Name	Value
NAME	CHOICE DM LIQUID,BOTTLE,1000ML
VA GENERIC NAME	CHOICE DM
DOSAGE FORM	LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS	TAURINE CHLORIDE WATER STRENGTH: 850 UNITS: ML VITAMIN K STRENGTH: 127 UNITS: MCG/L RIBOFLAVIN STRENGTH: 1.8 UNITS: MG/L BIOTIN STRENGTH: 320 UNITS: MCG/L VITAMIN A STRENGTH: 5300 UNITS: UNIT/L VITAMIN D STRENGTH: 420 UNITS: UNIT/L CALCIUM STRENGTH: 1060 UNITS: MG/L IRON ZINC COPPER IODINE PYRIDOXINE STRENGTH: 2.1 UNITS: MG/L MAGNESIUM PANTOTHENIC ACID STRENGTH: 10.6 UNITS: MG/L INOSITOL STRENGTH: 250 UNITS: MG/L PHOSPHORUS POTASSIUM MOLYBDENUM CHOLINE STRENGTH: 530 UNITS: MG/L MANGANESE SELENIUM CHROMIUM CYANOCOBALAMIN STRENGTH: 6.4 UNITS: MCG/L BETA CAROTENE STRENGTH: 1.06 UNITS: MG/L FAT STRENGTH: 51 UNITS: GM/L PROTEIN STRENGTH: 45 UNITS: GM/L FIBER STRENGTH: 14.4 UNITS: GM/L L-CARNITINE ASCORBIC ACID STRENGTH: 250 UNITS: MG/L THIAMINE STRENGTH: 1.6 UNITS: MG/L SODIUM FOLIC ACID STRENGTH: 420 UNITS: MCG/L
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-19 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	CHOICE DM 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 CHOICE DM LIQ BTL 1000ML
VA PRODUCT IDENTIFIER	N0261
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	BTL
MASTER ENTRY FOR VUID	YES
VUID	4012829
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-19 00:00:00 STATUS: INACTIVE