NA BIPHOSPHATE 4.8GM/NA PHOSPHATE 1.8GM/10ML LIQUID,ORAL (8766)    VA PRODUCT (50.68)

Name Value
NAME NA BIPHOSPHATE 4.8GM/NA PHOSPHATE 1.8GM/10ML LIQUID,ORAL
VA GENERIC NAME SODIUM BIPHOSPHATE/SODIUM PHOSPHATE
DOSAGE FORM LIQUID,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-27 00:00:00
DSS NUMBER 2
NATIONAL FORMULARY NAME SODIUM BIPHOSPHATE/SODIUM PHOSPHATE LIQUID,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 NA BIPHOS 2.4/NA PHOS 0.9GM/5ML ORAL LIQ
VA PRODUCT IDENTIFIER N0102
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4009223
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-27 00:00:00
    STATUS:   INACTIVE