NOVASOURCE RENAL LIQUID (STRAWBERRY) (31677) VA PRODUCT (50.68)

Name	Value
NAME	NOVASOURCE RENAL LIQUID (STRAWBERRY)
VA GENERIC NAME	NOVASOURCE
DOSAGE FORM	LIQUID,NUTRITIONAL SUPPLEMENT
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	TAURINE CHLORIDE VITAMIN K RIBOFLAVIN BIOTIN VITAMIN C VITAMIN A VITAMIN D CALCIUM ZINC COPPER VITAMIN E IODINE MAGNESIUM NIACIN PANTOTHENIC ACID PHOSPHORUS POTASSIUM MANGANESE SELENIUM L-CARNITINE VITAMIN B6 THIAMINE SODIUM FOLIC ACID
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	NOVASOURCE LIQUID,NUTRITIONAL SUPPLEMENT
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 COPAY EFFECTIVE DATE: 2022-01-14 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	NOVASOURCE RENAL LIQUID (STRAWBERRY)
VA PRODUCT IDENTIFIER	N0883
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	240ML BOX
MASTER ENTRY FOR VUID	YES
VUID	4041099
EFFECTIVE DATE/TIME	2022-01-14 00:00:00 STATUS: ACTIVE