NUTREN PULMONARY LIQUID VANILLA (18394)    VA PRODUCT (50.68)

Name Value
NAME NUTREN PULMONARY LIQUID VANILLA
VA GENERIC NAME NUTREN PULMONARY
DOSAGE FORM LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME NUTREN PULMONARY LIQUID,NUTRITIONAL SUPPLEMENT
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 PULMONARY LIQ VANILLA
VA PRODUCT IDENTIFIER N0561
TRANSMIT TO CMOP NO
VA DISPENSE UNIT 250ML CAN
MASTER ENTRY FOR VUID YES
VUID 4026181
EFFECTIVE DATE/TIME
  • 2007-07-24 00:00:00
    STATUS:   ACTIVE