SODIUM POLYSTYRENE SULFONATE 30GM/120ML RTL (3707) VA PRODUCT (50.68)

Name	Value
NAME	SODIUM POLYSTYRENE SULFONATE 30GM/120ML RTL
VA GENERIC NAME	SODIUM POLYSTYRENE SULFONATE
DOSAGE FORM	SUSP
ACTIVE INGREDIENTS	ALCOHOL STRENGTH: 0.3 UNITS: % SODIUM POLYSTYRENE SULFONATE STRENGTH: 30 UNITS: GM/120ML
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	30
SINGLE/MULTI SOURCE PRODUCT	Single source
UNITS	GM/120ML
DSS NUMBER	3
NATIONAL FORMULARY NAME	SODIUM POLYSTYRENE SULFONATE SUSP
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	SODIUM POLYSTYRENE SULF 30GM/120ML RTL
VA PRODUCT IDENTIFIER	S0080
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	BTL
MASTER ENTRY FOR VUID	YES
VUID	4004266
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE