DIABETISHIELD MIXED BERRY (27512)    VA PRODUCT (50.68)

Name Value
NAME DIABETISHIELD MIXED BERRY
VA GENERIC NAME DIABETISHIELD
DOSAGE FORM LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2021-04-15 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 NUTRITION SUPL DIABETISHIELD MIXED BERRY
VA PRODUCT IDENTIFIER N0798
TRANSMIT TO CMOP YES
VA DISPENSE UNIT 240ML BOX
MASTER ENTRY FOR VUID YES
VUID 4036426
EFFECTIVE DATE/TIME
  • 2017-02-17 00:00:00
    STATUS:   ACTIVE
  • 2021-04-15 00:00:00
    STATUS:   INACTIVE
  • 2021-04-15 00:00:00
    STATUS:   INACTIVE
  • 2021-04-15 00:00:00
    STATUS:   INACTIVE