LACTOBACILLUS/NA CARBOXYMETHYLCELLULOSE 100MG CAP (7944) VA PRODUCT (50.68)

Name	Value
NAME	LACTOBACILLUS/NA CARBOXYMETHYLCELLULOSE 100MG CAP
VA GENERIC NAME	LACTOBACILLUS
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	LACTOBACILLUS STRENGTH: 500 UNITS: MILLION CARBOXYMETHYLCELLULOSE SODIUM STRENGTH: 100 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2009-09-11 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	LACTOBACILLUS 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
VA PRINT NAME	LACTOBACILLUS CAP
VA PRODUCT IDENTIFIER	L0077
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4008421
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2009-09-11 00:00:00 STATUS: INACTIVE