DIALYSATE,DUOSOL BICARBONATE 25 W/O CALCIUM SOLN (20780) VA PRODUCT (50.68)

Name	Value
NAME	DIALYSATE,DUOSOL BICARBONATE 25 W/O CALCIUM SOLN
VA GENERIC NAME	DUOSOL
DOSAGE FORM	SOLN,DIALYSIS
ACTIVE INGREDIENTS	CHLORIDE STRENGTH: 115 UNITS: MEQ/L MAGNESIUM STRENGTH: 1.5 UNITS: MEQ/L POTASSIUM STRENGTH: 2 UNITS: MEQ/L BICARBONATE STRENGTH: 25 UNITS: MEQ/L SODIUM STRENGTH: 136 UNITS: MEQ/L
NATIONAL FORMULARY NAME	DUOSOL SOLN,DIALYSIS
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	DIALYSATE,DUOSOL BICARB 25 W/O CA SOLN
VA PRODUCT IDENTIFIER	D0815
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	BAG
MASTER ENTRY FOR VUID	YES
VUID	4028846
EFFECTIVE DATE/TIME	2009-08-11 00:00:00 STATUS: ACTIVE