VIVONEX PLUS POWDER,PKT,84GM (12515) VA PRODUCT (50.68)

Name	Value
NAME	VIVONEX PLUS POWDER,PKT,84GM
VA GENERIC NAME	VIVONEX
DOSAGE FORM	PWDR,RENST-ORAL
ACTIVE INGREDIENTS	RIBOFLAVIN STRENGTH: 1.9 UNITS: MG/L VITAMIN C STRENGTH: 67 UNITS: MG/L VITAMIN A STRENGTH: 4200 UNITS: UNIT/L VITAMIN D STRENGTH: 330 UNITS: UNIT/L CALCIUM STRENGTH: 560 UNITS: MG/L IRON STRENGTH: 10 UNITS: MG/L ZINC STRENGTH: 13 UNITS: MG/L IODINE STRENGTH: 83 UNITS: MCG/L MAGNESIUM STRENGTH: 220 UNITS: MG/L PHOSPHORUS STRENGTH: 560 UNITS: MG/L CYANOCOBALAMIN STRENGTH: 6.7 UNITS: MCG/L FAT STRENGTH: 6.7 UNITS: GM/L PROTEIN STRENGTH: 45 UNITS: GM/L VITAMIN B6 STRENGTH: 2.2 UNITS: MG/L THIAMINE STRENGTH: 1.7 UNITS: MG/L SODIUM STRENGTH: 610 UNITS: MG/L FOLIC ACID STRENGTH: 440 UNITS: MCG/L
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	8
NATIONAL FORMULARY NAME	VIVONEX PWDR,RENST-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 VIVONEX PLUS PWD
VA PRODUCT IDENTIFIER	N0304
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	YES
VUID	4012881
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE