MED PASS 2.0 LIQUID VANILLA,32OZ (15428)    VA PRODUCT (50.68)

Name Value
NAME MED PASS 2.0 LIQUID VANILLA,32OZ
VA GENERIC NAME MED PASS
DOSAGE FORM LIQUID,NUTRITIONAL SUPPLEMENT
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-20 00:00:00
NATIONAL FORMULARY NAME MED PASS 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 MED PASS 2.0 LIQUID VANILLA 32OZ
VA PRODUCT IDENTIFIER M0551
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CTN
MASTER ENTRY FOR VUID YES
VUID 4015791
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-20 00:00:00
    STATUS:   INACTIVE