VITAL PEPTIDE 1.5 CAL LIQUID (29711) VA PRODUCT (50.68)

Name	Value
NAME	VITAL PEPTIDE 1.5 CAL LIQUID
VA GENERIC NAME	VITAL
DOSAGE FORM	LIQUID,NUTRITIONAL SUPPLEMENT
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	TAURINE CHLORIDE VITAMIN K BIOTIN VITAMIN C VITAMIN A VITAMIN D CALCIUM IRON ZINC COPPER VITAMIN E IODINE MAGNESIUM NIACIN PANTOTHENIC ACID PHOSPHORUS POTASSIUM MOLYBDENUM CHOLINE MANGANESE SELENIUM CHROMIUM CYANOCOBALAMIN L-CARNITINE VITAMIN B1 VITAMIN B2 VITAMIN B6 SODIUM FOLIC ACID
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	VITAL LIQUID,NUTRITIONAL SUPPLEMENT
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 COPAY EFFECTIVE DATE: 2019-11-06 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	NUTR SUPL VITAL PEPTIDE 1.5 CAL LIQUID
VA PRODUCT IDENTIFIER	N0836
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	240ML CAN
MASTER ENTRY FOR VUID	YES
VUID	4038898
EFFECTIVE DATE/TIME	2019-11-06 00:00:00 STATUS: ACTIVE