BARIUM SO4 45%/HYDROXYPROPYL METHYLCELLULOSE 1% SUSP (7827)    VA PRODUCT (50.68)

Name Value
NAME BARIUM SO4 45%/HYDROXYPROPYL METHYLCELLULOSE 1% SUSP
VA GENERIC NAME BARIUM SULFATE/METHYLCELLULOSE
DOSAGE FORM KIT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 45
INACTIVATION DATE 2008-09-02 00:00:00
UNITS %
DSS NUMBER 1
NATIONAL FORMULARY NAME BARIUM SULFATE/METHYLCELLULOSE KIT
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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4008305
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE