NUTREN RENAL LIQUID VANILLA (18299)    VA PRODUCT (50.68)

Name Value
NAME NUTREN RENAL LIQUID VANILLA
VA GENERIC NAME NUTREN RENAL
DOSAGE FORM LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2013-04-11 00:00:00
NATIONAL FORMULARY NAME NUTREN RENAL 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 NUTR SUPL NUTREN RENAL VANILLA
VA PRODUCT IDENTIFIER N0555
TRANSMIT TO CMOP YES
VA DISPENSE UNIT 250ML CAN
MASTER ENTRY FOR VUID YES
VUID 4026063
EFFECTIVE DATE/TIME
  • 2007-05-23 00:00:00
    STATUS:   ACTIVE