SODIUM BIPHOSPHATE 480MG/SODIUM PHOSPHATE 180MG/ML LIQUID (8767)    VA PRODUCT (50.68)

Name Value
NAME SODIUM BIPHOSPHATE 480MG/SODIUM PHOSPHATE 180MG/ML LIQUID
VA GENERIC NAME SODIUM BIPHOSPHATE/SODIUM PHOSPHATE
DOSAGE FORM LIQUID,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2016-06-21 00:00:00
DSS NUMBER 3
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 4009224
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE