PROTOSAN POWDER,ORAL (9961)    VA PRODUCT (50.68)

Name Value
NAME PROTOSAN POWDER,ORAL
VA GENERIC NAME PROTOSAN
DOSAGE FORM POWDER,ORAL
ACTIVE INGREDIENTS
  • ASH
    STRENGTH:   3.5
    UNITS:   %
  • FAT
    STRENGTH:   1.3
    UNITS:   %
  • PROTEIN
    STRENGTH:   87.5
    UNITS:   %
  • LACTOSE
    STRENGTH:   0.5
    UNITS:   %
  • SODIUM
    STRENGTH:   0.02
    UNITS:   %
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2010-02-03 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME PROTOSAN POWDER,ORAL
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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4010351
EFFECTIVE DATE/TIME
  • 2004-11-19 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2010-02-03 00:00:00
    STATUS:   INACTIVE