DIABETISHIELD LIQUID MIXED BERRY (27511)    VA PRODUCT (50.68)

Name Value
NAME DIABETISHIELD LIQUID MIXED BERRY
VA GENERIC NAME DIABETISHIELD
DOSAGE FORM LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2017-02-17 00:00:00
NATIONAL FORMULARY NAME DIABETISHIELD LIQUID,NUTRITIONAL SUPPLEMENT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-04-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DIABETISHIELD LIQUID MIXED BERRY
VA PRODUCT IDENTIFIER XI862
TRANSMIT TO CMOP NO
VA DISPENSE UNIT 240ML BOX
MASTER ENTRY FOR VUID YES
VUID 4036425
EFFECTIVE DATE/TIME
  • 2017-02-17 00:00:00
    STATUS:   ACTIVE