PRUSSIAN BLUE INSOLUBLE 500MG CAP,ORAL (16511)    VA PRODUCT (50.68)

Name Value
NAME PRUSSIAN BLUE INSOLUBLE 500MG CAP,ORAL
VA GENERIC NAME PRUSSIAN BLUE
DOSAGE FORM CAP,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 500
UNITS MG
NATIONAL FORMULARY NAME PRUSSIAN BLUE CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PRUSSIAN BLUE INSOLUBLE 500MG ORAL CAP
VA PRODUCT IDENTIFIER P0672
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4016874
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2011-12-07 00:00:00
    STATUS:   INACTIVE