PSYLLIUM PWDR,ORAL PKT (31403)    VA PRODUCT (50.68)

Name Value
NAME PSYLLIUM PWDR,ORAL PKT
VA GENERIC NAME PSYLLIUM
DOSAGE FORM POWDER,ORAL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME PSYLLIUM POWDER,ORAL
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2021-09-08 00:00:00
    COPAY END DATE:   2021-12-31 00:00:00
  • COPAY TIER LEVEL:   1
    COPAY EFFECTIVE DATE:   2022-01-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PSYLLIUM ORAL PWD PKT
VA PRODUCT IDENTIFIER P1297
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4040788
EFFECTIVE DATE/TIME
  • 2021-09-08 00:00:00
    STATUS:   ACTIVE
  • 2021-09-08 00:00:00
    STATUS:   ACTIVE