ENSURE LIQUID BUTTER PECAN (19166)    VA PRODUCT (50.68)

Name Value
NAME ENSURE LIQUID BUTTER PECAN
VA GENERIC NAME ENSURE
DOSAGE FORM LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME ENSURE 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 ENSURE BUTTER PECAN LIQ
VA PRODUCT IDENTIFIER E0496
TRANSMIT TO CMOP YES
VA DISPENSE UNIT 240ML CAN
MASTER ENTRY FOR VUID YES
VUID 4027014
EFFECTIVE DATE/TIME
  • 2008-02-05 00:00:00
    STATUS:   ACTIVE