BOOST DIABETIC LIQUID STRAWBERRY (17290)    VA PRODUCT (50.68)

Name Value
NAME BOOST DIABETIC LIQUID STRAWBERRY
VA GENERIC NAME BOOST
DOSAGE FORM LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2009-09-17 00:00:00
NATIONAL FORMULARY NAME BOOST 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 BOOST DIABETIC LIQUID STRAWBERRY
VA PRODUCT IDENTIFIER B0536
TRANSMIT TO CMOP YES
VA DISPENSE UNIT 240ML BOX
MASTER ENTRY FOR VUID YES
VUID 4024722
EFFECTIVE DATE/TIME
  • 2006-01-24 00:00:00
    STATUS:   ACTIVE
  • 2009-09-17 00:00:00
    STATUS:   INACTIVE