| NAME |
PROTEIN SUPPLEMENT,PRONUTRA PWDR PKT,37GM |
| VA GENERIC NAME |
PRONUTRA |
| DOSAGE FORM |
POWDER,ORAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2009-11-04 00:00:00 |
| NATIONAL FORMULARY NAME |
PRONUTRA POWDER,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
PROTEIN SUPL PRONUTRA PWDR PKT,37GM |
| VA PRODUCT IDENTIFIER |
P0887 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4027382 |
| EFFECTIVE DATE/TIME |
-
- 2008-05-15 00:00:00
- STATUS: ACTIVE
-
- 2009-11-04 00:00:00
- STATUS: INACTIVE
|
