PSYLLIUM HYDROPHILIC MUCILLOID 4.75GM/5GM PWDR,ORAL (8055)    VA PRODUCT (50.68)

Name Value
NAME PSYLLIUM HYDROPHILIC MUCILLOID 4.75GM/5GM PWDR,ORAL
VA GENERIC NAME PSYLLIUM
DOSAGE FORM POWDER,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 4.75
INACTIVATION DATE 2009-05-20 00:00:00
UNITS GM/5GM
DSS NUMBER 5
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 ORAL PWD
VA PRODUCT IDENTIFIER P0298
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4008531
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-27 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE
  • 2008-09-12 00:00:00
    STATUS:   ACTIVE
  • 2009-05-20 00:00:00
    STATUS:   INACTIVE