| NAME |
CLINIMIX 9G15E 2.75/7.5 INJ |
| VA GENERIC NAME |
AMINO ACIDS/DEXTROSE/ELECTROLYTES |
| DOSAGE FORM |
INJ,SOLN |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2020-07-15 00:00:00 |
| NATIONAL FORMULARY NAME |
AMINO ACIDS/DEXTROSE/ELECTROLYTES INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2018-02-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
CLINIMIX 9G15E 2.75/7.5 INJ |
| VA PRODUCT IDENTIFIER |
C1845 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037192 |
| EFFECTIVE DATE/TIME |
-
- 2017-12-28 00:00:00
- STATUS: ACTIVE
-
- 2020-07-15 00:00:00
- STATUS: INACTIVE
|
