SODIUM CITRATE DIHYDRATE 230MG TAB,CHEWABLE (27974)    VA PRODUCT (50.68)

Name Value
NAME SODIUM CITRATE DIHYDRATE 230MG TAB,CHEWABLE
VA GENERIC NAME SODIUM CITRATE
DOSAGE FORM TAB,CHEWABLE
ACTIVE INGREDIENTS
STRENGTH 230
UNITS MG
NATIONAL FORMULARY NAME SODIUM CITRATE TAB,CHEWABLE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-12-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SODIUM CITRATE DIHYDRATE 230MG CHEW TAB
VA PRODUCT IDENTIFIER S0831
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4036972
EFFECTIVE DATE/TIME
  • 2017-10-30 00:00:00
    STATUS:   ACTIVE