POTASSIUM BITARTRATE/SODIUM BICARBONATE SUPP,RTL (8210)    VA PRODUCT (50.68)

Name Value
NAME POTASSIUM BITARTRATE/SODIUM BICARBONATE SUPP,RTL
VA GENERIC NAME POTASSIUM BITARTRATE/SODIUM BICARBONATE
DOSAGE FORM SUPP,RTL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2009-05-26 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME POTASSIUM BITARTRATE/SODIUM BICARBONATE SUPP,RTL
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 K BITARTRATE/NA BICARB RTL SUPP
VA PRODUCT IDENTIFIER P0196
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4008683
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-05-26 00:00:00
    STATUS:   INACTIVE