| NAME |
BOOST GLUCOSE CONTROL LIQUID CHOCOLATE |
| VA GENERIC NAME |
BOOST |
| DOSAGE FORM |
LIQUID,NUTRITIONAL SUPPLEMENT |
| HAZARDOUS TO DISPOSE |
NO |
| DOT SHIPPING CODE |
|
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
BOOST LIQUID,NUTRITIONAL SUPPLEMENT |
| 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 BOOST GLUCOSE CONTROL LIQ CHOC |
| VA PRODUCT IDENTIFIER |
B0631 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
240ML BTL |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4028908 |
| EFFECTIVE DATE/TIME |
-
- 2009-08-11 00:00:00
- STATUS: ACTIVE
|
