AMMONIUM PO4 190MG/DI-NA PYRO-PO4 110MG/NA BI-PO4 200MG TAB,EC (6848) VA PRODUCT (50.68)

Name	Value
NAME	AMMONIUM PO4 190MG/DI-NA PYRO-PO4 110MG/NA BI-PO4 200MG TAB,EC
VA GENERIC NAME	AMMONIUM PHOSPHATE/DISODIUM PYROPHOSPHATE/SODIUM BIPHOSPHATE
DOSAGE FORM	TAB,EC
ACTIVE INGREDIENTS	AMMONIUM PHOSPHATE,MONOBASIC STRENGTH: 190 UNITS: MG DISODIUM PYROPHOSPHATE STRENGTH: 110 UNITS: MG SODIUM BIPHOSPHATE STRENGTH: 200 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-12-06 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	AMMONIUM PHOSPHATE/DISODIUM PYROPHOSPHATE/SODIUM BIPHOSPHATE TAB,EC
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	PHOS-PHAID 500MG EC TAB
VA PRODUCT IDENTIFIER	P0245
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4007362
EFFECTIVE DATE/TIME	2002-12-06 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE