ARGINAID EXTRA LIQUID WILDBERRY (25082)    VA PRODUCT (50.68)

Name Value
NAME ARGINAID EXTRA LIQUID WILDBERRY
VA GENERIC NAME ARGINAID
DOSAGE FORM LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2019-03-18 00:00:00
NATIONAL FORMULARY NAME ARGINAID 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 ARGINAID EXTRA WILDBERRY
VA PRODUCT IDENTIFIER N0692
TRANSMIT TO CMOP YES
VA DISPENSE UNIT 240ML BOX
MASTER ENTRY FOR VUID YES
VUID 4033750
EFFECTIVE DATE/TIME
  • 2014-10-17 00:00:00
    STATUS:   ACTIVE
  • 2019-03-18 00:00:00
    STATUS:   INACTIVE