PSYLLIUM 2.5GM/SUCROSE 2.4GM/5GM GRANULES (9095) VA PRODUCT (50.68)

Name	Value
NAME	PSYLLIUM 2.5GM/SUCROSE 2.4GM/5GM GRANULES
VA GENERIC NAME	PSYLLIUM/SUCROSE
DOSAGE FORM	GRANULES
ACTIVE INGREDIENTS	SUCROSE STRENGTH: 2.4 UNITS: GM/5GM PSYLLIUM SEED COATINGS,BLOND STRENGTH: 2.5 UNITS: GM/5GM
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-10-01 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	PSYLLIUM/SUCROSE GRANULES
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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4009537
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-10-01 00:00:00 STATUS: INACTIVE