PSYLLIUM MUCILLOID 1.6GM/SUCROSE 3.4GM/5GM PWDR,ORAL (9094) VA PRODUCT (50.68)

Name	Value
NAME	PSYLLIUM MUCILLOID 1.6GM/SUCROSE 3.4GM/5GM PWDR,ORAL
VA GENERIC NAME	PSYLLIUM/SUCROSE
DOSAGE FORM	POWDER,ORAL
ACTIVE INGREDIENTS	SUCROSE STRENGTH: 3.4 UNITS: GM/5GM PSYLLIUM MUCILLOID STRENGTH: 1.6 UNITS: GM/5GM
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-25 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	PSYLLIUM/SUCROSE POWDER,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	PSYLLIUM/SUCROSE PWDR
VA PRODUCT IDENTIFIER	P0299
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4009536
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-25 00:00:00 STATUS: INACTIVE