CHLORIDE 287MG/POTASSIUM 15MG/SODIUIM 180MG TAB (19111)    VA PRODUCT (50.68)

Name Value
NAME CHLORIDE 287MG/POTASSIUM 15MG/SODIUIM 180MG TAB
VA GENERIC NAME CHLORIDE/POTASSIUM/SODIUM
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME CHLORIDE/POTASSIUM/SODIUM TAB
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 CHLORIDE 287/POTASS 15/SODIUM 180MG TAB
VA PRODUCT IDENTIFIER C1307
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4026949
EFFECTIVE DATE/TIME
  • 2007-12-20 00:00:00
    STATUS:   ACTIVE