PROSURE LIQUID VANILLA (18411)    VA PRODUCT (50.68)

Name Value
NAME PROSURE LIQUID VANILLA
VA GENERIC NAME PROSURE
DOSAGE FORM LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-27 00:00:00
NATIONAL FORMULARY NAME PROSURE 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 PROSURE LIQ VANILLA
VA PRODUCT IDENTIFIER P0836
TRANSMIT TO CMOP YES
VA DISPENSE UNIT 240ML CAN
MASTER ENTRY FOR VUID YES
VUID 4026198
EFFECTIVE DATE/TIME
  • 2007-07-24 00:00:00
    STATUS:   ACTIVE
  • 2007-09-27 00:00:00
    STATUS:   INACTIVE