SUSTAGEN PWDR CHOCOLATE (8189) VA PRODUCT (50.68)

Name	Value
NAME	SUSTAGEN PWDR CHOCOLATE
VA GENERIC NAME	CASEINATE/DEXTROSE/LACTOSE/MILK/MINERALS/MULTIVITAMINS
DOSAGE FORM	PWDR,RENST-ORAL
ACTIVE INGREDIENTS	VITAMIN K CALCIUM CASEINATE MILK,NONFAT CORN SYRUP SOLIDS MILK,WHOLE DRY MILK FAT RIBOFLAVIN VITAMIN A VITAMIN D VITAMIN E NIACIN PANTOTHENIC ACID POTASSIUM STRENGTH: 3360 UNITS: MG/L CYANOCOBALAMIN DEXTROSE LACTOSE ASCORBIC ACID THIAMINE SODIUM STRENGTH: 1060 UNITS: MG/L PYRIDOXINE HYDROCHLORIDE FOLIC ACID
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	1.7
INACTIVATION DATE	2007-09-25 00:00:00
UNITS	CAL/ML
DSS NUMBER	1
NATIONAL FORMULARY NAME	CASEINATE/DEXTROSE/LACTOSE/MILK/MINERALS/MULTIVITAMINS PWDR,RENST-ORAL
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 SUSTAGEN/CHOC PWD
VA PRODUCT IDENTIFIER	S0071
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4008663
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-25 00:00:00 STATUS: INACTIVE