L-GLUTAMINE 15GM/PKT PWDR,ORAL (23094)    VA PRODUCT (50.68)

Name Value
NAME L-GLUTAMINE 15GM/PKT PWDR,ORAL
VA GENERIC NAME L-GLUTAMINE
DOSAGE FORM POWDER,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 15
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS GM/PKT
NATIONAL FORMULARY NAME L-GLUTAMINE POWDER,ORAL
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME L-GLUTAMINE 15GM/PKT PWDR,ORAL
VA PRODUCT IDENTIFIER L0543
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4031486
EFFECTIVE DATE/TIME
  • 2012-06-11 00:00:00
    STATUS:   ACTIVE
  • 2019-02-05 00:00:00
    STATUS:   ACTIVE