GLUCERNA SELECT LIQUID VANILLA (18741)    VA PRODUCT (50.68)

Name Value
NAME GLUCERNA SELECT LIQUID VANILLA
VA GENERIC NAME GLUCERNA SELECT
DOSAGE FORM LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2009-05-26 00:00:00
NATIONAL FORMULARY NAME GLUCERNA SELECT 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 GLUCERNA SELECT VANILLA LIQ
VA PRODUCT IDENTIFIER XV578
TRANSMIT TO CMOP YES
VA DISPENSE UNIT 240ML CAN
MASTER ENTRY FOR VUID YES
VUID 4026558
EFFECTIVE DATE/TIME
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-03 00:00:00
    STATUS:   INACTIVE
  • 2008-10-08 00:00:00
    STATUS:   ACTIVE
  • 2009-05-26 00:00:00
    STATUS:   INACTIVE