RESOURCE CRYSTALS (VANILLA) (9482) VA PRODUCT (50.68)

Name	Value
NAME	RESOURCE CRYSTALS (VANILLA)
VA GENERIC NAME	RESOURCE
DOSAGE FORM	CRYSTAL
ACTIVE INGREDIENTS	POTASSIUM CITRATE CALCIUM CASEINATE SODIUM CASEINATE SOY PROTEIN ISOLATE MAGNESIUM OXIDE POTASSIUM PHOSPHATE CALCIUM PHOSPHATE,TRIBASIC CARRAGEENAN CHOLINE CHLORIDE CORN STARCH,HYDROLYZED DIGLYCERIDE FLAVOR,ARTIFICIAL MONOGLYCERIDE POLYGLYCEROL ESTERS OF FATTY ACIDS SOYBEAN OIL,PARTIALLY HYDROGENATED WITH BHA SUGAR XANTHAN GUM SODIUM CHLORIDE POTASSIUM CHLORIDE CITRIC ACID ASCORBIC ACID
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-25 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	RESOURCE CRYSTAL
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 RESOURCE/VAN CRYSTALS
VA PRODUCT IDENTIFIER	N0180
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4009904
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-25 00:00:00 STATUS: INACTIVE