PEPTAMEN LIQUID VANILLA,250ML (12675) VA PRODUCT (50.68)

Name	Value
NAME	PEPTAMEN LIQUID VANILLA,250ML
VA GENERIC NAME	PEPTAMEN
DOSAGE FORM	LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS	VITAMIN K STARCH SUNFLOWER SEED OIL MALTODEXTRIN VITAMIN A VITAMIN D VITAMIN E POTASSIUM STRENGTH: 1252 UNITS: MG/L SOY LECITHIN TRIGLYCERIDES,MEDIUM CHAIN VITAMIN B3 CYANOCOBALAMIN FAT STRENGTH: 39.2 UNITS: GM/L PROTEIN STRENGTH: 40 UNITS: GM/L VITAMIN B5 VITAMIN B1 VITAMIN B2 VITAMIN B6 ASCORBIC ACID SODIUM STRENGTH: 500 UNITS: MG/L
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2016-06-15 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	PEPTAMEN LIQUID,NUTRITIONAL SUPPLEMENT
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 PEPTAMEN/VANILLA LIQUID
VA PRODUCT IDENTIFIER	N0310
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAN
MASTER ENTRY FOR VUID	YES
VUID	4013040
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE