SODIUM PHOSPHATE,TRIBASIC PWDR (5769)    VA PRODUCT (50.68)

Name Value
NAME SODIUM PHOSPHATE,TRIBASIC PWDR
VA GENERIC NAME SODIUM PHOSPHATE
DOSAGE FORM POWDER
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2010-07-07 00:00:00
DSS NUMBER 4
NATIONAL FORMULARY NAME SODIUM PHOSPHATE 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
VA PRINT NAME SODIUM PHOSPHATE,TRIBASIC PWDR
VA PRODUCT IDENTIFIER S0513
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4006294
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2010-07-07 00:00:00
    STATUS:   INACTIVE