BISACODYL 10MG SUPP/SENNA EXT 74ML/SENOKOT-S TAB 2/SUCROSE 50GM (8377) VA PRODUCT (50.68)

Name	Value
NAME	BISACODYL 10MG SUPP/SENNA EXT 74ML/SENOKOT-S TAB 2/SUCROSE 50GM
VA GENERIC NAME	BISACODYL/DOCUSATE/SENNA CONCENTRATE/SENNA EXTRACT/SUCROSE
DOSAGE FORM	KIT
ACTIVE INGREDIENTS	BISACODYL STRENGTH: SUPP UNITS: 10 MG X 1 ALCOHOL STRENGTH: 7 UNITS: % SUCROSE STRENGTH: 50 UNITS: GM SENNA FRUIT EXTRACT STRENGTH: 74 UNITS: ML SENOKOT-S STRENGTH: TAB UNITS: X 2
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BISACODYL/DOCUSATE/SENNA CONCENTRATE/SENNA EXTRACT/SUCROSE KIT
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	X-PREP BOWEL EVACUANT KIT-1
VA PRODUCT IDENTIFIER	B0188
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4008845
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE