IMPACT LIQUID (9479) VA PRODUCT (50.68)

Name	Value
NAME	IMPACT LIQUID
VA GENERIC NAME	MULTIVITAMIN W/MINERALS
DOSAGE FORM	LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS	POTASSIUM CITRATE ARGININE CALCIUM CARRAGEENAN CALCIUM CASEINATE SODIUM CASEINATE POTASSIUM PHOSPHATE CALCIUM PHOSPHATE,TRIBASIC CELLULOSE GEL CHOLINE CHLORIDE CORN STARCH,HYDROLYZED LIPID,STRUCTURED (FROM PALM KERNEL OIL) LIPID,STRUCTURED (FROM SUNFLOWER OIL) MENHADEN OIL,REFINED SOY LECITHIN,HYDROXYLATED WATER,DEIONIZED YEAST EXTRACT POTASSIUM CHLORIDE SODIUM CITRATE CITRIC ACID SODIUM ASCORBATE MAGNESIUM CHLORIDE
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2009-06-12 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	MULTIVITAMIN W/MINERALS 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 IMPACT LIQUID
VA PRODUCT IDENTIFIER	N0157
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	240ML CAN
MASTER ENTRY FOR VUID	YES
VUID	4009901
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2009-06-12 00:00:00 STATUS: INACTIVE