PEG-3350/ELECTROLYTES (MOVIPREP) PWDR (18083)    VA PRODUCT (50.68)

Name Value
NAME PEG-3350/ELECTROLYTES (MOVIPREP) PWDR
VA GENERIC NAME ELECTROLYTES/PEG-3350
DOSAGE FORM PWDR,RENST-ORAL
FDA MED GUIDE PEG-3350_(Eqv-MoviPrep)_(2019).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2021-03-15 00:00:00
NATIONAL FORMULARY NAME ELECTROLYTES/PEG-3350 PWDR,RENST-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 COLON ELEC LAVAGE PWD(MOVIPREP) FOR SOLN
VA PRODUCT IDENTIFIER P0773
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4025814
EFFECTIVE DATE/TIME
  • 2007-01-25 00:00:00
    STATUS:   ACTIVE
  • 2021-03-15 00:00:00
    STATUS:   INACTIVE
  • 2021-03-15 00:00:00
    STATUS:   INACTIVE
  • 2021-03-15 00:00:00
    STATUS:   INACTIVE