CITRIC ACID1000/POTASSIUM BICARB344/SODIUM BICARB 1050MG TAB,EFF (27162) VA PRODUCT (50.68)

Name	Value
NAME	CITRIC ACID1000/POTASSIUM BICARB344/SODIUM BICARB 1050MG TAB,EFF
VA GENERIC NAME	CITRIC ACID/POTASSIUM BICARBONATE/SODIUM BICARBONATE
DOSAGE FORM	TAB,EFFERVSC
ACTIVE INGREDIENTS	POTASSIUM BICARBONATE STRENGTH: 344 UNITS: MG CITRIC ACID STRENGTH: 1000 UNITS: MG SODIUM BICARBONATE STRENGTH: 1050 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	CITRIC ACID/POTASSIUM BICARBONATE/SODIUM BICARBONATE TAB,EFFERVSC
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	CITRIC ACID/K BICARB/NA BICARB EFF TAB
VA PRODUCT IDENTIFIER	C1788
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4036044
EFFECTIVE DATE/TIME	2016-09-20 00:00:00 STATUS: ACTIVE