BAGENEMA/BISACODYL TAB 5MG #4/CASTILE SOAP 20ML/CASTOR OIL 45ML (9653) VA PRODUCT (50.68)

Name	Value
NAME	BAGENEMA/BISACODYL TAB 5MG #4/CASTILE SOAP 20ML/CASTOR OIL 45ML
VA GENERIC NAME	BAGENEMA/BISACODYL/CASTILE SOAP/CASTOR OIL
DOSAGE FORM	KIT
ACTIVE INGREDIENTS	BISACODYL STRENGTH: TAB UNITS: 5 MG X 4 CASTILE SOAP STRENGTH: 20 UNITS: ML CASTOR OIL,EMULSION,FLAVORED STRENGTH: 45 UNITS: ML FLEET BAGENEMA SET
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BAGENEMA/BISACODYL/CASTILE SOAP/CASTOR OIL 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/CASTOR OIL #5
VA PRODUCT IDENTIFIER	B0076
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4010066
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE