NOVASOURCE RENAL LIQUID 1000ML (18053) VA PRODUCT (50.68)

Name	Value
NAME	NOVASOURCE RENAL LIQUID 1000ML
VA GENERIC NAME	NOVASOURCE
DOSAGE FORM	LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS	TAURINE VITAMIN K RIBOFLAVIN BIOTIN VITAMIN C VITAMIN A VITAMIN D CALCIUM IRON ZINC COPPER VITAMIN E IODINE MAGNESIUM NIACIN PANTOTHENIC ACID PHOSPHORUS POTASSIUM MANGANESE SELENIUM FAT L-CARNITINE PHYTONADIONE VITAMIN B6 CHLORINE THIAMINE SODIUM FOLIC ACID
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	NOVASOURCE 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	NOVASOURCE RENAL LIQUID 1000ML
VA PRODUCT IDENTIFIER	N0489
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	BTL
MASTER ENTRY FOR VUID	YES
VUID	4025770
EFFECTIVE DATE/TIME	2006-11-29 00:00:00 STATUS: ACTIVE