COMPLEAT PEPTIDE 1.5 CAL LIQUID (31597) VA PRODUCT (50.68)

Name	Value
NAME	COMPLEAT PEPTIDE 1.5 CAL LIQUID
VA GENERIC NAME	COMPLEAT
DOSAGE FORM	LIQUID,NUTRITIONAL SUPPLEMENT
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	POTASSIUM CITRATE VITAMIN K SODIUM PHOSPHATE,DIBASIC NIACINAMIDE RIBOFLAVIN TOCOPHERYL ACETATE,DL-ALPHA BIOTIN VITAMIN D ZINC PYRIDOXINE MAGNESIUM FERROUS SULFATE VITAMIN A PALMITATE GREEN BEAN PUREE MOLYBDENUM PANTOTHENIC ACID (AS CALCIUM) PEA PUREE PEACH PUREE MANGANESE CHROMIUM CYANOCOBALAMIN BETA CAROTENE SODIUM CHLORIDE PHYTONADIONE POTASSIUM CHLORIDE ASCORBIC ACID THIAMINE FOLIC ACID
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	COMPLEAT LIQUID,NUTRITIONAL SUPPLEMENT
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 COPAY EFFECTIVE DATE: 2021-12-02 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	NUTRITION SUPL COMPLEAT 1.5 CAL LIQUID
VA PRODUCT IDENTIFIER	N0881
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	250ML CAN
MASTER ENTRY FOR VUID	YES
VUID	4041005
EFFECTIVE DATE/TIME	2021-12-02 00:00:00 STATUS: ACTIVE