NA BIPHOSPHATE 0.9GM/NA PHOSPHATE 2.4GM/5ML LIQUID,ORAL (18593) VA PRODUCT (50.68)

Name	Value
NAME	NA BIPHOSPHATE 0.9GM/NA PHOSPHATE 2.4GM/5ML LIQUID,ORAL
VA GENERIC NAME	SODIUM BIPHOSPHATE/SODIUM PHOSPHATE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	SODIUM PHOSPHATE STRENGTH: 2.4 UNITS: GM/5ML SODIUM BIPHOSPHATE STRENGTH: 0.9 UNITS: GM/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	SODIUM BIPHOSPHATE/SODIUM PHOSPHATE LIQUID,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	NA BIPHOS 0.9/NA PHOS 2.4GM/5ML ORAL LIQ
VA PRODUCT IDENTIFIER	N0563
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4026393
EFFECTIVE DATE/TIME	2007-08-30 00:00:00 STATUS: ACTIVE