| NAME |
SUSTACAL EGG NOG |
| VA GENERIC NAME |
CASEINATE/MINERALS/MULTIVITAMINS/SOY OIL/SUCROSE |
| DOSAGE FORM |
LIQUID |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
1 |
| INACTIVATION DATE |
1999-05-02 00:00:00 |
| UNITS |
CAL/ML |
| DSS NUMBER |
2 |
| NATIONAL FORMULARY NAME |
CASEINATE/MINERALS/MULTIVITAMINS/SOY OIL/SUCROSE LIQUID |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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/EGG NOG LIQUID |
| VA PRODUCT IDENTIFIER |
S0064 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
240ML CAN |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4008651 |
| EFFECTIVE DATE/TIME |
-
- 1999-05-02 00:00:00
- STATUS: INACTIVE
-
- 2005-12-08 00:00:00
- STATUS: INACTIVE
|
