RESOURCE LIQUID (VANILLA) (9484) VA PRODUCT (50.68)

Name	Value
NAME	RESOURCE LIQUID (VANILLA)
VA GENERIC NAME	RESOURCE
DOSAGE FORM	LIQUID,NUTRITIONAL SUPPLEMENT
ACTIVE INGREDIENTS	POTASSIUM CITRATE CALCIUM CASEINATE SODIUM CASEINATE SOY PROTEIN ISOLATE ZINC SULFATE FERROUS SULFATE CALCIUM PHOSPHATE,TRIBASIC CARRAGEENAN CHOLINE CHLORIDE CORN OIL CORN STARCH,HYDROLYZED FLAVOR,ARTIFICIAL FLAVOR,NATURAL POTASSIUM HYDROXIDE SOY LECITHIN SUGAR WATER,DEIONIZED POTASSIUM CHLORIDE SODIUM CITRATE ASCORBIC ACID MAGNESIUM CHLORIDE
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-03 00:00:00
DSS NUMBER	5
NATIONAL FORMULARY NAME	RESOURCE 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 RESOURCE/VAN LIQUID
VA PRODUCT IDENTIFIER	R0015
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	240ML CAN
MASTER ENTRY FOR VUID	YES
VUID	4009906
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-03 00:00:00 STATUS: INACTIVE