PROMOTE LIQUID VANILLA 1000ML (22796) VA PRODUCT (50.68)

Name	Value
NAME	PROMOTE LIQUID VANILLA 1000ML
VA GENERIC NAME	PROMOTE
DOSAGE FORM	LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS	TAURINE CHLORIDE VITAMIN K RIBOFLAVIN BIOTIN VITAMIN A VITAMIN D CALCIUM IRON ZINC COPPER IODINE PYRIDOXINE MAGNESIUM PANTOTHENIC ACID PHOSPHORUS POTASSIUM MOLYBDENUM CHOLINE MANGANESE SELENIUM CHROMIUM CYANOCOBALAMIN PHYTONADIONE ASCORBIC ACID THIAMINE SODIUM FOLIC ACID
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
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 LIQ VAN 1000ML
VA PRODUCT IDENTIFIER	P0991
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	BTL
MASTER ENTRY FOR VUID	YES
VUID	4031154
EFFECTIVE DATE/TIME	2011-12-09 00:00:00 STATUS: ACTIVE