| NAME |
SODIUM BICARBONATE 150MEQ/L/DEXTROSE 5% INJ |
| VA GENERIC NAME |
SODIUM BICARBONATE |
| DOSAGE FORM |
INJ,SOLN |
| ACTIVE INGREDIENTS |
|
| STRENGTH |
150 |
| UNITS |
MEQ/L |
| NATIONAL FORMULARY NAME |
SODIUM BICARBONATE INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
SODIUM BICARBONATE 150MEQ/L/D5W INJ |
| VA PRODUCT IDENTIFIER |
S0636 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
BAG |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4029018 |
| EFFECTIVE DATE/TIME |
-
- 2009-09-09 00:00:00
- STATUS: ACTIVE
|
