ISOCAL LIQUID,CAN,960ML (12489) VA PRODUCT (50.68)

Name	Value
NAME	ISOCAL LIQUID,CAN,960ML
VA GENERIC NAME	ISOCAL
DOSAGE FORM	LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS	CHLORIDE VITAMIN K MALTODEXTRIN STRENGTH: 135 UNITS: GM/L CALCIUM CASEINATE SODIUM CASEINATE SOY PROTEIN ISOLATE SOY OIL,PARTIALLY HYDROGENATED CALCIUM PANTOTHENATE RIBOFLAVIN VITAMIN A VITAMIN D CALCIUM IRON ZINC COPPER VITAMIN E IODINE PYRIDOXINE MAGNESIUM PHOSPHORUS POTASSIUM STRENGTH: 34 UNITS: MEQ/L MOLYBDENUM MANGANESE SELENIUM SOY LECITHIN CHROMIUM CYANOCOBALAMIN PROTEIN STRENGTH: 34 UNITS: GM/L MCT ASCORBIC ACID THIAMINE SODIUM STRENGTH: 23 UNITS: MEQ/L
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-20 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	ISOCAL 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 ISOCAL LIQUID CAN 960ML
VA PRODUCT IDENTIFIER	N0265
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAN
MASTER ENTRY FOR VUID	YES
VUID	4012855
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-20 00:00:00 STATUS: INACTIVE