BISACODYL SUPP 10MG/BISACODYL 5MG TAB #4/PHOSPHO-SODA 45ML (9648) VA PRODUCT (50.68)

Name	Value
NAME	BISACODYL SUPP 10MG/BISACODYL 5MG TAB #4/PHOSPHO-SODA 45ML
VA GENERIC NAME	BISACODYL/PHOSPHO SODA
DOSAGE FORM	KIT
ACTIVE INGREDIENTS	BISACODYL STRENGTH: TAB UNITS: 5 MG X 4 PHOSPHO-SODA STRENGTH: 45 UNITS: ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2011-01-06 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BISACODYL/PHOSPHO SODA KIT
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	FLEET PREP KIT/PHOSPHO SODA #1
VA PRODUCT IDENTIFIER	B0201
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4010061
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2011-01-06 00:00:00 STATUS: INACTIVE