FIBERCEL POWDER,ORAL PKT (30545)    VA PRODUCT (50.68)

Name Value
NAME FIBERCEL POWDER,ORAL PKT
VA GENERIC NAME FIBER
DOSAGE FORM POWDER,ORAL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME FIBER POWDER,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2020-11-19 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME FIBERCEL ORAL POWDER PKT
VA PRODUCT IDENTIFIER F0710
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4039852
EFFECTIVE DATE/TIME
  • 2020-11-20 00:00:00
    STATUS:   ACTIVE
  • 2020-11-20 00:00:00
    STATUS:   ACTIVE
  • 2020-11-20 00:00:00
    STATUS:   ACTIVE