BOOST CALORIE SMART LIQUID (24190)    VA PRODUCT (50.68)

Name Value
NAME BOOST CALORIE SMART LIQUID
VA GENERIC NAME BOOST
DOSAGE FORM LIQUID,NUTRITIONAL SUPPLEMENT
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2021-07-15 00:00:00
NATIONAL FORMULARY NAME BOOST 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 NUTRITION SUPL BOOST CALORIE SMART LIQ
VA PRODUCT IDENTIFIER N0672
TRANSMIT TO CMOP YES
VA DISPENSE UNIT 240ML BTL
MASTER ENTRY FOR VUID YES
VUID 4032733
EFFECTIVE DATE/TIME
  • 2013-09-26 00:00:00
    STATUS:   ACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE