RANITIDINE BISMUTH CITRATE 400MG TAB (12554)    VA PRODUCT (50.68)

Name Value
NAME RANITIDINE BISMUTH CITRATE 400MG TAB
VA GENERIC NAME RANITIDINE BISMUTH CITRATE
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 400
INACTIVATION DATE 2007-09-25 00:00:00
UNITS MG
DSS NUMBER 1
NATIONAL FORMULARY NAME RANITIDINE BISMUTH CITRATE TAB
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 RANITIDINE BISMUTH CITRATE 400MG TAB
VA PRODUCT IDENTIFIER R0041
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4012919
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-25 00:00:00
    STATUS:   INACTIVE