PSYLLIUM HYDROPHILIC MUCILLOID 3.4GM/5GM/WHEAT BRAN PWDR,ORAL (9676)    VA PRODUCT (50.68)

Name Value
NAME PSYLLIUM HYDROPHILIC MUCILLOID 3.4GM/5GM/WHEAT BRAN PWDR,ORAL
VA GENERIC NAME PSYLLIUM/WHEAT BRAN
DOSAGE FORM POWDER,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 3.4
INACTIVATION DATE 2007-10-01 00:00:00
UNITS GM/5GM
DSS NUMBER 1
NATIONAL FORMULARY NAME PSYLLIUM/WHEAT BRAN POWDER,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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4010085
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-10-01 00:00:00
    STATUS:   INACTIVE