XYLOSE 25GM/BTL PWDR (3028)    VA PRODUCT (50.68)

Name Value
NAME XYLOSE 25GM/BTL PWDR
VA GENERIC NAME XYLOSE
DOSAGE FORM POWDER
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 25
INACTIVATION DATE 2010-02-04 00:00:00
UNITS GM/BTL
DSS NUMBER 1
NATIONAL FORMULARY NAME XYLOSE POWDER
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4003603
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-21 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2010-02-04 00:00:00
    STATUS:   INACTIVE