PSYLLIUM 3.4GM/WHEAT BRAN/5GM PWDR,ORAL (9677) VA PRODUCT (50.68)

Name	Value
NAME	PSYLLIUM 3.4GM/WHEAT BRAN/5GM PWDR,ORAL
VA GENERIC NAME	PSYLLIUM/WHEAT BRAN
DOSAGE FORM	POWDER,ORAL
ACTIVE INGREDIENTS	POLYSORBATE 60 PSYLLIUM HYDROPHILIC MUCILLOID STRENGTH: 3.4 UNITS: GM/5GM WHEAT BRAN CITRIC ACID
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-10-01 00:00:00
DSS NUMBER	2
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	4010086
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-10-01 00:00:00 STATUS: INACTIVE