SODIUM POLYSTYRENE SULFONATE (SORBITOL FREE) 15GM/60ML SUSP (25096)    VA PRODUCT (50.68)

Name Value
NAME SODIUM POLYSTYRENE SULFONATE (SORBITOL FREE) 15GM/60ML SUSP
VA GENERIC NAME SODIUM POLYSTYRENE SULFONATE
DOSAGE FORM SUSP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 15
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2019-08-15 00:00:00
UNITS GM/60ML
NATIONAL FORMULARY NAME SODIUM POLYSTYRENE SULFONATE SUSP
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 SOD POLYSTYRENE(SORB FREE)15GM/60ML SUSP
VA PRODUCT IDENTIFIER S0749
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4033767
EFFECTIVE DATE/TIME
  • 2014-10-17 00:00:00
    STATUS:   ACTIVE
  • 2019-08-15 00:00:00
    STATUS:   INACTIVE
  • 2019-08-15 00:00:00
    STATUS:   INACTIVE