PSYLLIUM MUCILLOID 3.4GM/SUCROSE 3.5GM PWDR,ORAL (9096) VA PRODUCT (50.68)

Name	Value
NAME	PSYLLIUM MUCILLOID 3.4GM/SUCROSE 3.5GM PWDR,ORAL
VA GENERIC NAME	PSYLLIUM/SUCROSE
DOSAGE FORM	POWDER,ORAL
ACTIVE INGREDIENTS	SUCROSE STRENGTH: 3.5 UNITS: GM PSYLLIUM HYDROPHILIC MUCILLOID STRENGTH: 3.4 UNITS: GM PSYLLIUM MUCILLOID STRENGTH: 3.4 UNITS: GM/5GM SODIUM STRENGTH: 1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2019-07-15 00:00:00
DSS NUMBER	2
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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	NO
VUID	4009538
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2004-11-19 00:00:00 STATUS: INACTIVE 2019-07-15 00:00:00 STATUS: INACTIVE 2019-07-15 00:00:00 STATUS: INACTIVE