SODIUM PHOSPHATE MONO/DIBASIC (OSMOPREP) 1.5GM TAB (20470) VA PRODUCT (50.68)

Name	Value
NAME	SODIUM PHOSPHATE MONO/DIBASIC (OSMOPREP) 1.5GM TAB
VA GENERIC NAME	SODIUM PHOSPHATE
DOSAGE FORM	TAB
FDA MED GUIDE	OsmoPrep_(2018).pdf
FORMULARY DESIGNATOR	PA-F
FORMULARY DESIGNATOR TEXT	Restricted to GI
ACTIVE INGREDIENTS	SODIUM PHOSPHATE,DIBASIC,ANHYDROUS STRENGTH: 0.398 UNITS: GM SODIUM PHOSPHATE MONOBASIC,MONOHYDRATE STRENGTH: 1.102 UNITS: GM
NATIONAL FORMULARY INDICATOR	YES
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	SODIUM PHOSPHATE 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	SODIUM PHOSPHATE (OSMOPREP) 1.5GM TAB
VA PRODUCT IDENTIFIER	S0615
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4028469
EFFECTIVE DATE/TIME	2009-03-12 00:00:00 STATUS: ACTIVE