AMMONIUM PO4 95MG/DI-NA PYRO-PO4 55MG/NA BI-PO4 100MG TAB,EC (9629) VA PRODUCT (50.68)

Name	Value
NAME	AMMONIUM PO4 95MG/DI-NA PYRO-PO4 55MG/NA BI-PO4 100MG TAB,EC
VA GENERIC NAME	AMMONIUM BIPHOSPHATE/SODIUM ACID PYROPHOSPHATE/NA BIPHOSPHATE
DOSAGE FORM	TAB,EC
ACTIVE INGREDIENTS	AMMONIUM PHOSPHATE,MONOBASIC STRENGTH: 95 UNITS: MG SODIUM ACID PYROPHOSPHATE STRENGTH: 55 UNITS: MG SODIUM BIPHOSPHATE STRENGTH: 100 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	0.25
INACTIVATION DATE	2002-12-06 00:00:00
UNITS	GM
DSS NUMBER	2
NATIONAL FORMULARY NAME	AMMONIUM BIPHOSPHATE/SODIUM ACID PYROPHOSPHATE/NA BIPHOSPHATE TAB,EC
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	4010042
EFFECTIVE DATE/TIME	2002-12-06 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE