| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | sequence number(+) | 0;1 | NUMERIC | |||
| 1 | ndc | 0;2 | FREE TEXT | NDC | This is the 12 character NDC (National Drug Code) for this item. | |
| 2 | upn | 0;3 | FREE TEXT | UPN | This is the UPN (Universal Product Number) for this item. | |
| 3 | manufacturer | 0;4 | POINTER | 55.95 | This is the manufacturer of this item. | |
| 4 | trade name | 0;5 | FREE TEXT | T | This is the trade name of this item. | |
| 5 | va product name | 0;6 | POINTER | 50.68 | This is the VA Product associated with this item. | |
| 6 | route of administration | 1;0 | MULTIPLE | 50.676 | ||
| 7 | inactivation date | 0;7 | DATE-TIME | This is the date when this item was made inactive. | ||
| 8 | package size | 0;8 | POINTER | 50.609 | This is the package size. | |
| 9 | package type | 0;9 | POINTER | 50.608 | This is the package type. | |
| 10 | otx/rx indicator | 0;10 | SET OF CODES | O:Over the counter R:Prescription | ||
| 11 | previous ndc | 2;0 | MULTIPLE | 50.6711 | ||
| 12 | previous upn | 3;0 | MULTIPLE | 50.6712 |