KAO LECTROLYTE PWDR,ORAL,BUBBLE GUM (12748) VA PRODUCT (50.68)

Name	Value
NAME	KAO LECTROLYTE PWDR,ORAL,BUBBLE GUM
VA GENERIC NAME	CARBOHYDRATE/ELECTROLYTES
DOSAGE FORM	PWDR,RENST-ORAL
ACTIVE INGREDIENTS	CITRATE STRENGTH: 30 UNITS: MEQ/L POTASSIUM STRENGTH: 20 UNITS: MEQ/L CARBOHYDRATE STRENGTH: 111 UNITS: MEQ/L SODIUM STRENGTH: 50 UNITS: MEQ/L
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-02 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	CARBOHYDRATE/ELECTROLYTES PWDR,RENST-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
VA PRINT NAME	KAO LECTROLYTE PWDR ORAL BUBBLE GUM
VA PRODUCT IDENTIFIER	K0032
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	YES
VUID	4013113
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE