PROSOURCE GELATEIN 20 GRAPE GEL,ORAL (30865)    VA PRODUCT (50.68)

Name Value
NAME PROSOURCE GELATEIN 20 GRAPE GEL,ORAL
VA GENERIC NAME PROSOURCE PLUS
DOSAGE FORM GEL,ORAL
HAZARDOUS TO DISPOSE NO
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME PROSOURCE PLUS GEL,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-03-11 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME NUTR SUPL PROSOURCE GELATEIN 20 GRAPE
VA PRODUCT IDENTIFIER N0862
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4040195
EFFECTIVE DATE/TIME
  • 2021-03-11 00:00:00
    STATUS:   ACTIVE
  • 2021-03-11 00:00:00
    STATUS:   ACTIVE
  • 2021-03-11 00:00:00
    STATUS:   ACTIVE