PEPTAMEN AF LIQUID UNFLAVORED,1000ML (18886) VA PRODUCT (50.68)

Name	Value
NAME	PEPTAMEN AF LIQUID UNFLAVORED,1000ML
VA GENERIC NAME	PEPTAMEN AF
DOSAGE FORM	LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS	TAURINE VITAMIN K NIACINAMIDE RIBOFLAVIN BIOTIN POTASSIUM IODIDE CALCIUM COPPER VITAMIN E PYRIDOXINE MAGNESIUM FERROUS SULFATE CHOLECALCIFEROL MANGANESE ZINC (AS SULFATE) SODIUM MOLYBDATE CHROMIUM RETINYL PALMITATE L-CARNITINE PHYTONADIONE POTASSIUM CHLORIDE CAROTENE,BETA ASCORBIC ACID SODIUM PHOSPHATE FOLIC ACID
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	PEPTAMEN AF 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	NUTRITION SUPL PEPTAMEN AF/UNFLAV 1000ML
VA PRODUCT IDENTIFIER	P0851
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	BTL
MASTER ENTRY FOR VUID	YES
VUID	4026713
EFFECTIVE DATE/TIME	2007-11-14 00:00:00 STATUS: ACTIVE