BI SUBNITRATE 30MG/CA CARB 225MG/MG CARB 160MG TAB (7405) VA PRODUCT (50.68)

Name	Value
NAME	BI SUBNITRATE 30MG/CA CARB 225MG/MG CARB 160MG TAB
VA GENERIC NAME	BISMUTH SUBNITRATE/CALCIUM CARBONATE/MAGNESIUM CARBONATE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	BISMUTH SUBNITRATE STRENGTH: 30 UNITS: MG MAGNESIUM CARBONATE STRENGTH: 160 UNITS: MG CALCIUM CARBONATE STRENGTH: 225 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BISMUTH SUBNITRATE/CALCIUM CARBONATE/MAGNESIUM CARBONATE TAB
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	BI SUBNITRATE 30MG/CA CARB/MG CARB TAB
VA PRODUCT IDENTIFIER	B0172
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4007910
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE