| NAME |
SODIUM CITRATE 4% INJ,SYRINGE,3ML |
| VA GENERIC NAME |
SODIUM CITRATE |
| DOSAGE FORM |
INJ |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
4 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
% |
| NATIONAL FORMULARY NAME |
SODIUM CITRATE INJ |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2018-01-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
SODIUM CITRATE 4% INJ SYRINGE 3ML |
| VA PRODUCT IDENTIFIER |
S0833 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
SYR |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037113 |
| EFFECTIVE DATE/TIME |
-
- 2017-12-01 00:00:00
- STATUS: ACTIVE
|
