NUTRIRENAL LIQUID VANILLA,250ML (15424)    VA PRODUCT (50.68)

Name Value
NAME NUTRIRENAL LIQUID VANILLA,250ML
VA GENERIC NAME NUTRIRENAL
DOSAGE FORM LIQUID,NUTRITIONAL SUPPLEMENT
NATIONAL FORMULARY NAME NUTRRENAL LIQUID,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 NUTRIRENAL LIQUID VANILLA 250ML
VA PRODUCT IDENTIFIER N0411
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAN
MASTER ENTRY FOR VUID YES
VUID 4015787
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE