DEHYDROCHOLIC AC 20MG/DOSS 200MG/PHENOLPHTHALEIN 15MG CAP (6692)    VA PRODUCT (50.68)

Name Value
NAME DEHYDROCHOLIC AC 20MG/DOSS 200MG/PHENOLPHTHALEIN 15MG CAP
VA GENERIC NAME DEHYDROCHOLIC ACID/DOCUSATE/PHENOLPHTHALEIN
DOSAGE FORM CAP,ORAL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2002-05-24 00:00:00
DSS NUMBER 2
NATIONAL FORMULARY NAME DEHYDROCHOLIC ACID/DOCUSATE/PHENOLPHTHALEIN CAP,ORAL
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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4007208
EFFECTIVE DATE/TIME
  • 2002-05-24 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE