TRAUM-AID HBC PWDR (LEMONCREME) (9227) VA PRODUCT (50.68)

Name	Value
NAME	TRAUM-AID HBC PWDR (LEMONCREME)
VA GENERIC NAME	CARBOHYDRATE/ELECTROLYTE/FAT/MINERAL/PROTEIN/VITAMIN
DOSAGE FORM	POWDER,ORAL
ACTIVE INGREDIENTS	AMINO ACIDS STRENGTH: 66.6 UNITS: GM VITAMIN K MALTODEXTRIN STRENGTH: 197.5 UNITS: GM RIBOFLAVIN BIOTIN VITAMIN A VITAMIN D CALCIUM VITAMIN E MAGNESIUM NIACIN PANTOTHENIC ACID POTASSIUM STRENGTH: 1380 UNITS: MG CHOLINE MANGANESE SOYBEAN OIL/TRIGLYCERIDES,MEDIUM CHAIN/LECITHIN STRENGTH: 14.7 UNITS: GM CYANOCOBALAMIN ASCORBIC ACID THIAMINE SODIUM STRENGTH: 618 UNITS: MG PYRIDOXINE HYDROCHLORIDE FOLIC ACID
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2012-06-21 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CARBOHYDRATE/ELECTROLYTE/FAT/MINERAL/PROTEIN/VITAMIN POWDER,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 TRAUM-AID HBC/LMN PWD
VA PRODUCT IDENTIFIER	N0181
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4009657
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2012-06-21 00:00:00 STATUS: INACTIVE