PEG-3350/ELECTROLYTES (EQV-MOVIPREP) PWDR (30538) VA PRODUCT (50.68)

Name	Value
NAME	PEG-3350/ELECTROLYTES (EQV-MOVIPREP) PWDR
VA GENERIC NAME	ELECTROLYTES/PEG-3350
DOSAGE FORM	PWDR,RENST-ORAL
FDA MED GUIDE	PEG-3350_(Eqv-MoviPrep)_(2021).pdf
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	SODIUM SULFATE PEG-3350 SODIUM CHLORIDE POTASSIUM CHLORIDE ASCORBIC ACID SODIUM ASCORBATE
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ELECTROLYTES/PEG-3350 PWDR,RENST-ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2020-11-17 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	COLON ELEC LAVAGE(EQV-MOVIPREP) FOR SOLN
VA PRODUCT IDENTIFIER	C1968
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4039838
EFFECTIVE DATE/TIME	2020-11-19 00:00:00 STATUS: ACTIVE 2020-11-19 00:00:00 STATUS: ACTIVE 2020-11-19 00:00:00 STATUS: ACTIVE