SUSTACAL PUDDING BUTTERSCOTCH (8184) VA PRODUCT (50.68)

Name	Value
NAME	SUSTACAL PUDDING BUTTERSCOTCH
VA GENERIC NAME	LACTOSE/MILK/MINERALS/MULTIVITAMINS/SOY OIL/SUCROSE
DOSAGE FORM	PUDDING
ACTIVE INGREDIENTS	CHLORIDE SUCROSE SOY OIL,PARTIALLY HYDROGENATED MILK,NONFAT FOOD STARCH,MODIFIED RIBOFLAVIN BIOTIN VITAMIN A VITAMIN D CALCIUM VITAMIN E NIACIN PANTOTHENIC ACID POTASSIUM STRENGTH: 2133 UNITS: MG/L CYANOCOBALAMIN LACTOSE ASCORBIC ACID THIAMINE SODIUM STRENGTH: 800 UNITS: MG/L PYRIDOXINE HYDROCHLORIDE FOLIC ACID
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	1.7
INACTIVATION DATE	1999-06-07 00:00:00
UNITS	CAL/GM
DSS NUMBER	1
NATIONAL FORMULARY NAME	LACTOSE/MILK/MINERALS/MULTIVITAMINS/SOY OIL/SUCROSE PUDDING
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/BUTRSCTH PUDDING
VA PRODUCT IDENTIFIER	S0065
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4008658
EFFECTIVE DATE/TIME	1999-06-07 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE