PSYLLIUM SUGAR FREE INSTANT MIX PWDR (8054) VA PRODUCT (50.68)

Name	Value
NAME	PSYLLIUM SUGAR FREE INSTANT MIX PWDR
VA GENERIC NAME	PSYLLIUM
DOSAGE FORM	POWDER,ORAL
ACTIVE INGREDIENTS	POTASSIUM BICARBONATE PHENYLALANINE STRENGTH: 30 UNITS: MG/5ML PSYLLIUM HYDROPHILIC MUCILLOID ASPARTAME SILICONE DIOXIDE CALCIUM CARBONATE CITRIC ACID SODIUM BICARBONATE
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2018-04-16 00:00:00
DSS NUMBER	4
NATIONAL FORMULARY NAME	PSYLLIUM POWDER,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	PSYLLIUM SF ORAL PWD
VA PRODUCT IDENTIFIER	P0172
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4008530
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2018-04-16 00:00:00 STATUS: INACTIVE