PSYLLIUM 3.25GM/SENNA 0.74GM/5GM PWDR,ORAL (11764) VA PRODUCT (50.68)

Name	Value
NAME	PSYLLIUM 3.25GM/SENNA 0.74GM/5GM PWDR,ORAL
VA GENERIC NAME	PSYLLIUM/SENNA
DOSAGE FORM	POWDER,ORAL
ACTIVE INGREDIENTS	PSYLLIUM STRENGTH: 3.25 UNITS: GM/5GM SENNA STRENGTH: 0.74 UNITS: GM/5GM
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-25 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	PSYLLIUM/SENNA POWDER,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	PSYLLIUM 3.25/SENNA 0.74GM/5GM PWDR
VA PRODUCT IDENTIFIER	P0374
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4012132
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-25 00:00:00 STATUS: INACTIVE