BISMUTH SUBSALICYLATE 262MG/15ML SUSP,ORAL (9107) VA PRODUCT (50.68)

Name	Value
NAME	BISMUTH SUBSALICYLATE 262MG/15ML SUSP,ORAL
VA GENERIC NAME	BISMUTH SUBSALICYLATE
DOSAGE FORM	SUSP,ORAL
ACTIVE INGREDIENTS	BISMUTH SUBSALICYLATE STRENGTH: 262 UNITS: MG/15ML
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	262
SINGLE/MULTI SOURCE PRODUCT	Multisource
UNITS	MG/15ML
DSS NUMBER	1
NATIONAL FORMULARY NAME	BISMUTH SUBSALICYLATE SUSP,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	BISMUTH SUBSALICYLATE 262MG/15ML SUSP
VA PRODUCT IDENTIFIER	B0163
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4009548
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE