BI SUBCARBONATE 260MG/KAOLIN 5.2GM/PECTIN 260MG/30ML SUSP (10020) VA PRODUCT (50.68)

Name	Value
NAME	BI SUBCARBONATE 260MG/KAOLIN 5.2GM/PECTIN 260MG/30ML SUSP
VA GENERIC NAME	BISMUTH SUBCARBONATE/KAOLIN/PECTIN
DOSAGE FORM	SUSP,ORAL
ACTIVE INGREDIENTS	KAOLIN STRENGTH: 5.2 UNITS: GM/30ML PECTIN STRENGTH: 260 UNITS: MG/30ML BISMUTH SUBCARBONATE STRENGTH: 260 UNITS: MG/30ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-02 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BISMUTH SUBCARBONATE/KAOLIN/PECTIN SUSP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	BI SUBCARB 130MG/KAOLIN/PECTIN/15ML SUSP
VA PRODUCT IDENTIFIER	B0171
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4010409
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE