PROTEIN SUPPLEMENT,PROPASS PWDR PKT,8GM (19281) VA PRODUCT (50.68)

Name	Value
NAME	PROTEIN SUPPLEMENT,PROPASS PWDR PKT,8GM
VA GENERIC NAME	PROPASS
DOSAGE FORM	POWDER,ORAL
ACTIVE INGREDIENTS	CALCIUM STRENGTH: 40 UNITS: MG/PKT ZINC STRENGTH: 0.1 UNITS: MG/PKT MAGNESIUM STRENGTH: 5.4 UNITS: MG/PKT PHOSPHORUS STRENGTH: 27.1 UNITS: MG/PKT POTASSIUM STRENGTH: 43.4 UNITS: MG/PKT PROTEIN STRENGTH: 6 UNITS: GM/PKT
CS FEDERAL SCHEDULE	Unscheduled
NATIONAL FORMULARY NAME	PROPASS POWDER,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	NUTRITION SUPL,PROPASS PWDR PKT,8GM
VA PRODUCT IDENTIFIER	P0871
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	YES
VUID	4027129
EFFECTIVE DATE/TIME	2008-02-05 00:00:00 STATUS: ACTIVE 2010-02-04 00:00:00 STATUS: INACTIVE 2010-06-03 00:00:00 STATUS: ACTIVE