BAGENEMA/BISACODYL TAB 5MG #4/CASTILE SOAP/PHOSPHO-SODA 45ML KIT (9649) VA PRODUCT (50.68)

Name	Value
NAME	BAGENEMA/BISACODYL TAB 5MG #4/CASTILE SOAP/PHOSPHO-SODA 45ML KIT
VA GENERIC NAME	BAGENEMA/BISACODYL TAB/CASTILE SOAP/PHOSPHO-SODA
DOSAGE FORM	KIT
ACTIVE INGREDIENTS	BISACODYL STRENGTH: TAB UNITS: 5 MG X 4 CASTILE SOAP STRENGTH: PACKET FLEET BAGENEMA STRENGTH: SET PHOSPHO-SODA STRENGTH: 45 UNITS: ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2009-09-17 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BAGENEMA/BISACODYL TAB/CASTILE SOAP/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 #2
VA PRODUCT IDENTIFIER	B0077
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4010062
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2009-09-17 00:00:00 STATUS: INACTIVE