ELLIOTTS B INJ,SOLN,10ML (18297) VA PRODUCT (50.68)

Name	Value
NAME	ELLIOTTS B INJ,SOLN,10ML
VA GENERIC NAME	DEXTROSE/ELECTROLYTES
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	SODIUM CHLORIDE STRENGTH: 7.3 UNITS: MG POTASSIUM CHLORIDE STRENGTH: 0.3 UNITS: MG MAGNESIUM SULFATE STRENGTH: 0.3 UNITS: MG CALCIUM CHLORIDE STRENGTH: 0.2 UNITS: MG SODIUM BICARBONATE STRENGTH: 1.9 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	DEXTROSE/ELECTROLYTES INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	ELLIOTTS B INJ SOLN 10ML
VA PRODUCT IDENTIFIER	E0490
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	AMP
MASTER ENTRY FOR VUID	YES
VUID	4026061
EFFECTIVE DATE/TIME	2007-05-23 00:00:00 STATUS: ACTIVE