K PHOSPHATE 155MG/NA BIPHOSPHATE 852MG/NA PHOSPHATE 130MG TAB (26728) VA PRODUCT (50.68)

Name	Value
NAME	K PHOSPHATE 155MG/NA BIPHOSPHATE 852MG/NA PHOSPHATE 130MG TAB
VA GENERIC NAME	POTASSIUM PHOSPHATE/SODIUM BIPHOSPHATE/SODIUM PHOSPHATE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	POTASSIUM PHOSPHATE,MONOBASIC STRENGTH: 155 UNITS: MG SODIUM PHOSPHATE,MONOBASIC,MONOHYDRATE STRENGTH: 130 UNITS: MG SODIUM PHOSPHATE,DIBASIC,ANHYDROUS STRENGTH: 852 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	POTASSIUM PHOSPHATE/SODIUM BIPHOSPHATE/SODIUM PHOSPHATE TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00 COPAY END DATE: 2017-03-31 00:00:00 COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-04-01 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	K PHOS 155/NA BIPHOS 852/PHOS 130MG TAB
VA PRODUCT IDENTIFIER	K0063
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4035566
EFFECTIVE DATE/TIME	2016-03-28 00:00:00 STATUS: ACTIVE