COLESEVELAM HCL 1.875GM PWDR,PKT (21729)    VA PRODUCT (50.68)

Name Value
NAME COLESEVELAM HCL 1.875GM PWDR,PKT
VA GENERIC NAME COLESEVELAM
DOSAGE FORM POWDER,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1.875
INACTIVATION DATE 2011-05-24 00:00:00
UNITS GM/PKT
NATIONAL FORMULARY NAME COLESEVELAM 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 COLESEVELAM HCL 1.875GM PWDR,PKT
VA PRODUCT IDENTIFIER C1442
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4029910
EFFECTIVE DATE/TIME
  • 2010-07-12 00:00:00
    STATUS:   ACTIVE
  • 2011-05-24 00:00:00
    STATUS:   INACTIVE
  • 2011-05-24 00:00:00
    STATUS:   INACTIVE