PROMOTE W/FIBER LIQUID VANILLA 1000ML (20469) VA PRODUCT (50.68)

Name	Value
NAME	PROMOTE W/FIBER LIQUID VANILLA 1000ML
VA GENERIC NAME	PROMOTE
DOSAGE FORM	LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS	CHLORIDE VITAMIN K RIBOFLAVIN BIOTIN VITAMIN C VITAMIN A VITAMIN D CALCIUM IRON ZINC COPPER VITAMIN E IODINE MAGNESIUM NIACIN PANTOTHENIC ACID PHOSPHORUS POTASSIUM MOLYBDENUM CHOLINE MANGANESE SELENIUM CHROMIUM CYANOCOBALAMIN BETA CAROTENE L-CARNITINE PHYTONADIONE VITAMIN B6 THIAMINE SODIUM FOLIC ACID
CS FEDERAL SCHEDULE	Unscheduled
NATIONAL FORMULARY NAME	PROMOTE 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 PROMOTE W/FIBER LIQ VAN 1000ML
VA PRODUCT IDENTIFIER	P0909
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	BTL
MASTER ENTRY FOR VUID	YES
VUID	4028468
EFFECTIVE DATE/TIME	2009-03-12 00:00:00 STATUS: ACTIVE 2010-02-22 00:00:00 STATUS: INACTIVE 2010-02-22 00:00:00 STATUS: INACTIVE 2010-06-03 00:00:00 STATUS: ACTIVE