| NAME |
JUVEN PWDR PKT,24GM GRAPE |
| VA GENERIC NAME |
JUVEN |
| DOSAGE FORM |
POWDER,ORAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2014-06-18 00:00:00 |
| NATIONAL FORMULARY NAME |
JUVEN POWDER,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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 JUVEN PWDR 24GM PKT GRAPE |
| VA PRODUCT IDENTIFIER |
J0027 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4028773 |
| EFFECTIVE DATE/TIME |
-
- 2009-07-09 00:00:00
- STATUS: ACTIVE
|