FAT EMULSION (SMOFLIPID) 20% INJ (27641) VA PRODUCT (50.68)

Name	Value
NAME	FAT EMULSION (SMOFLIPID) 20% INJ
VA GENERIC NAME	FAT EMULSION
DOSAGE FORM	INJ
ACTIVE INGREDIENTS	EGG YOLK PHOSPHOLIPIDS STRENGTH: 1.2 UNITS: % SOYBEAN OIL STRENGTH: 6 UNITS: % OLIVE OIL STRENGTH: 5 UNITS: % TRIGLYCERIDES,MEDIUM CHAIN STRENGTH: 6 UNITS: % FISH OIL STRENGTH: 3 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	20
SINGLE/MULTI SOURCE PRODUCT	Multisource
UNITS	%
NATIONAL FORMULARY NAME	FAT EMULSION INJ
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 COPAY EFFECTIVE DATE: 2017-06-01 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	FAT EMULSION (SMOFLIPID) 20% INJ
VA PRODUCT IDENTIFIER	F0626
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4036574
EFFECTIVE DATE/TIME	2017-04-14 00:00:00 STATUS: ACTIVE