ENSURE MAX PROTEIN LIQUID CAFE MOCHA (30446)    VA PRODUCT (50.68)

Name Value
NAME ENSURE MAX PROTEIN LIQUID CAFE MOCHA
VA GENERIC NAME ENSURE
DOSAGE FORM LIQUID,NUTRITIONAL SUPPLEMENT
HAZARDOUS TO DISPOSE NO
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME ENSURE LIQUID,NUTRITIONAL SUPPLEMENT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2020-10-07 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME NUTRITION SUP ENSURE MAX PRO LIQ CAF/MOC
VA PRODUCT IDENTIFIER N0849
TRANSMIT TO CMOP NO
VA DISPENSE UNIT 330ML CAN
MASTER ENTRY FOR VUID YES
VUID 4039740
EFFECTIVE DATE/TIME
  • 2020-10-07 00:00:00
    STATUS:   ACTIVE
  • 2020-10-07 00:00:00
    STATUS:   ACTIVE
  • 2020-10-07 00:00:00
    STATUS:   ACTIVE