POLYETHYLENE GLYCOL 3350 17GM/PKT PWDR,ORAL (18382)    VA PRODUCT (50.68)

Name Value
NAME POLYETHYLENE GLYCOL 3350 17GM/PKT PWDR,ORAL
VA GENERIC NAME POLYETHYLENE GLYCOL 3350
DOSAGE FORM POWDER,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME POLYETHYLENE GLYCOL 3350 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 POLYETHYLENE GLYCOL 3350 17GM/PKT PWDR
VA PRODUCT IDENTIFIER P0834
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4026162
EFFECTIVE DATE/TIME
  • 2007-06-19 00:00:00
    STATUS:   ACTIVE