DOCUSATE NA 100MG/PHENOLPHTHALEIN 65MG CAP (8075) VA PRODUCT (50.68)

Name	Value
NAME	DOCUSATE NA 100MG/PHENOLPHTHALEIN 65MG CAP
VA GENERIC NAME	DOCUSATE/PHENOLPHTHALEIN
DOSAGE FORM	CAP,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	PHENOLPHTHALEIN STRENGTH: 65 UNITS: MG DOCUSATE SODIUM STRENGTH: 100 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-05-24 00:00:00
DSS NUMBER	4
NATIONAL FORMULARY NAME	DOCUSATE/PHENOLPHTHALEIN 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	DOCUSATE NA 100/PHENOLPHTHALEIN 65MG CAP
VA PRODUCT IDENTIFIER	D0114
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4008550
EFFECTIVE DATE/TIME	2002-05-24 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE