SALIVA,ARTIFICIAL (CAPHOSOL) LIQUID,60,KIT (19243) VA PRODUCT (50.68)

Name	Value
NAME	SALIVA,ARTIFICIAL (CAPHOSOL) LIQUID,60,KIT
VA GENERIC NAME	SALIVA,ARTIFICIAL
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	SODIUM PHOSPHATE,MONOBASIC STRENGTH: 0.009 UNITS: % SODIUM PHOSPHATE,DIBASIC STRENGTH: 0.032 UNITS: % SODIUM CHLORIDE STRENGTH: 0.569 UNITS: % CALCIUM CHLORIDE STRENGTH: 0.052 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2021-10-18 00:00:00
NATIONAL FORMULARY NAME	SALIVA,ARTIFICIAL LIQUID
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	ARTIFICIAL SALIVA (CAPHOSOL) LIQ 60 KIT
VA PRODUCT IDENTIFIER	S0569
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	KIT
MASTER ENTRY FOR VUID	YES
VUID	4027091
EFFECTIVE DATE/TIME	2008-02-05 00:00:00 STATUS: ACTIVE 2021-10-18 00:00:00 STATUS: INACTIVE 2021-10-18 00:00:00 STATUS: INACTIVE 2021-10-18 00:00:00 STATUS: INACTIVE 2021-10-18 00:00:00 STATUS: INACTIVE