MERITENE POWDER (EGG NOG) (9474) VA PRODUCT (50.68)

Name	Value
NAME	MERITENE POWDER (EGG NOG)
VA GENERIC NAME	MERITENE
DOSAGE FORM	POWDER,ORAL
ACTIVE INGREDIENTS	FRUCTOSE CALCIUM CASEINATE CALCIUM PANTOTHENATE NIACINAMIDE MAGNESIUM OXIDE ZINC SULFATE FERROUS SULFATE CALCIUM PHOSPHATE POTASSIUM PHOSPHATE COPPER GLUCONATE CORN STARCH,HYDROLYZED MANGANESE SULFATE FLAVOR,ARTIFICIAL FLAVOR,NATURAL MILK,PROCESSED NONFAT DRY SOY LECITHIN SUGAR TOCOPHERYL SODIUM CHLORIDE ASCORBIC ACID PYRIDOXINE HYDROCHLORIDE
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-20 00:00:00
DSS NUMBER	7
NATIONAL FORMULARY NAME	MERITENE 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 MERITENE/EGG NOG PWD
VA PRODUCT IDENTIFIER	N0167
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4009896
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-20 00:00:00 STATUS: INACTIVE