BISACODYL 10MG SUPP/CITRATE & SO4 MAGNESIA 30GM/SENNA EXT 74ML (8378) VA PRODUCT (50.68)

Name	Value
NAME	BISACODYL 10MG SUPP/CITRATE & SO4 MAGNESIA 30GM/SENNA EXT 74ML
VA GENERIC NAME	BISACODYL/MAGNESIUM CITRATE/MAGNESIUM SULFATE/SENNA/SUCROSE
DOSAGE FORM	KIT
ACTIVE INGREDIENTS	BISACODYL STRENGTH: 10 UNITS: MG ALCOHOL STRENGTH: 7 UNITS: % SUCROSE STRENGTH: 50 UNITS: GM SENNA FRUIT EXTRACT STRENGTH: 74 UNITS: ML CITRATE/SULFATE MAGNESIA STRENGTH: 30 UNITS: GM
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BISACODYL/MAGNESIUM CITRATE/MAGNESIUM SULFATE/SENNA/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-2
VA PRODUCT IDENTIFIER	B0186
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4008846
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE