| NAME |
BARIUM SO4 98% PWDR,ORAL |
| VA GENERIC NAME |
BARIUM SULFATE |
| DOSAGE FORM |
POWDER,ORAL |
| ACTIVE INGREDIENTS |
|
| STRENGTH |
98 |
| UNITS |
% |
| NATIONAL FORMULARY NAME |
BARIUM SULFATE POWDER,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
BARIUM SO4 98% ORAL PWDR |
| VA PRODUCT IDENTIFIER |
B0752 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
GM |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4033917 |
| EFFECTIVE DATE/TIME |
-
- 2014-12-12 00:00:00
- STATUS: ACTIVE
|
