MERITENE LIQUID (VANILLA SUPREME) (9471) VA PRODUCT (50.68)

Name	Value
NAME	MERITENE LIQUID (VANILLA SUPREME)
VA GENERIC NAME	MERITENE
DOSAGE FORM	LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS	SODIUM CASEINATE NIACINAMIDE MAGNESIUM OXIDE ZINC OXIDE CARRAGEENAN CELLULOSE FLOUR CELLULOSE GUM CHOLINE CHLORIDE COPPER GLUCONATE CORN OIL CORN STARCH,HYDROLYZED DIGLYCERIDE FERRIC ORTHOPHOSPHATE FLAVOR,ARTIFICIAL MILK,CONCENTRATED SWEET SKIM MONOGLYCERIDE SUGAR TOCOPHERYL SODIUM CHLORIDE MAGNESIUM SULFATE SODIUM ASCORBATE
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	0.96
INACTIVATION DATE	2007-09-20 00:00:00
UNITS	CAL/ML
DSS NUMBER	4
NATIONAL FORMULARY NAME	MERITENE LIQUID
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 MERITENE/VAN SUPRM LIQ
VA PRODUCT IDENTIFIER	N0169
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	240ML CAN
MASTER ENTRY FOR VUID	YES
VUID	4009893
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-20 00:00:00 STATUS: INACTIVE