SUSTACAL CHOCOLATE (8176) VA PRODUCT (50.68)

Name	Value
NAME	SUSTACAL CHOCOLATE
VA GENERIC NAME	CASEINATE/MINERALS/MULTIVITAMINS/SOY OIL/SUCROSE
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	VITAMIN K SUCROSE CALCIUM CASEINATE SODIUM CASEINATE SOY PROTEIN ISOLATE CORN SYRUP SOY OIL,PARTIALLY HYDROGENATED LECITHIN RIBOFLAVIN BIOTIN VITAMIN A VITAMIN D VITAMIN E NIACIN PANTOTHENIC ACID CHOLINE CYANOCOBALAMIN ASCORBIC ACID THIAMINE PYRIDOXINE HYDROCHLORIDE FOLIC ACID
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	1
INACTIVATION DATE	1999-06-07 00:00:00
UNITS	CAL/ML
DSS NUMBER	1
NATIONAL FORMULARY NAME	CASEINATE/MINERALS/MULTIVITAMINS/SOY OIL/SUCROSE LIQUID
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	NUTRITION SUPL SUSTACAL/CHOC LIQUID
VA PRODUCT IDENTIFIER	S0063
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	240ML CAN
MASTER ENTRY FOR VUID	YES
VUID	4008650
EFFECTIVE DATE/TIME	1999-06-07 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE