| NAME |
SODIUM POLYSTYRENE SULFONATE 15GM/60ML SUSP,60ML |
| VA GENERIC NAME |
SODIUM POLYSTYRENE SULFONATE |
| DOSAGE FORM |
SUSP |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
15 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
GM/60ML |
| NATIONAL FORMULARY NAME |
SODIUM POLYSTYRENE SULFONATE SUSP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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 POLYSTYR SULF 15GM/60ML SUSP 60ML |
| VA PRODUCT IDENTIFIER |
S0734 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
BTL |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4033242 |
| EFFECTIVE DATE/TIME |
-
- 2014-04-21 00:00:00
- STATUS: ACTIVE
|
