POLYETHYLENE GLYCOL 3350 (10132)    VA PRODUCT (50.68)

Name Value
NAME POLYETHYLENE GLYCOL 3350
VA GENERIC NAME POLYETHYLENE GLYCOL 3350
DOSAGE FORM MISCELLANEOUS
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2008-10-15 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME POLYETHYLENE GLYCOL 3350 MISCELLANEOUS
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 4010512
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-10-15 00:00:00
    STATUS:   INACTIVE
  • 2008-10-15 00:00:00
    STATUS:   INACTIVE
  • 2008-10-15 00:00:00
    STATUS:   INACTIVE