CASCARA SAGRADA 1GM/ML FLUID EXTRACT,ORAL (7928) VA PRODUCT (50.68)

Name	Value
NAME	CASCARA SAGRADA 1GM/ML FLUID EXTRACT,ORAL
VA GENERIC NAME	CASCARA SAGRADA
DOSAGE FORM	FLUID EXTRACT
ACTIVE INGREDIENTS	ALCOHOL STRENGTH: 18 UNITS: % CASCARA SAGRADA STRENGTH: 1 UNITS: GM/ML
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	1
INACTIVATION DATE	2008-09-03 00:00:00
UNITS	GM/ML
DSS NUMBER	1
NATIONAL FORMULARY NAME	CASCARA SAGRADA FLUID EXTRACT
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	CASCARA SAGRADA 1GM/ML ORAL FLUID EXT
VA PRODUCT IDENTIFIER	C0123
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4008405
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-03 00:00:00 STATUS: INACTIVE