ISOTEIN HN POWDER (9467) VA PRODUCT (50.68)

Name	Value
NAME	ISOTEIN HN POWDER
VA GENERIC NAME	ISOTEIN HN
DOSAGE FORM	POWDER
ACTIVE INGREDIENTS	FRUCTOSE SODIUM CASEINATE NIACINAMIDE MAGNESIUM OXIDE ZINC SULFATE CALCIUM PHOSPHATE POTASSIUM PHOSPHATE CORN STARCH,HYDROLYZED DELACTOSED LACTALBUMIN DIGLYCERIDE FERRIC ORTHOPHOSPHATE FLAVOR,ARTIFICIAL CHOLINE BITARTRATE HIGH CHROMIUM YEAST HIGH SELENIUM YEAST MONOGLYCERIDE SOYBEAN OIL,PARTIALLY HYDROGENATED WITH BHA TOCOPHERYL TRIGLYCERIDES,MEDIUM CHAIN SODIUM CHLORIDE ASCORBIC ACID
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	1.2
INACTIVATION DATE	2009-06-12 00:00:00
UNITS	CAL/ML
DSS NUMBER	1
NATIONAL FORMULARY NAME	ISOTEIN HN POWDER
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 ISOTEIN HN PWD
VA PRODUCT IDENTIFIER	N0206
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4009889
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2009-06-12 00:00:00 STATUS: INACTIVE