DIALYSATE,DUOSOL BICARB 35 2K/3CA BRAUN #4552 (29318) VA PRODUCT (50.68)

Name	Value
NAME	DIALYSATE,DUOSOL BICARB 35 2K/3CA BRAUN #4552
VA GENERIC NAME	DUOSOL
DOSAGE FORM	SOLN,DIALYSIS
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	CHLORIDE STRENGTH: 111 UNITS: MEQ/L GLUCOSE STRENGTH: 1 UNITS: GM/L CALCIUM STRENGTH: 4 UNITS: MEQ/L MAGNESIUM STRENGTH: 1 UNITS: MEQ/L POTASSIUM STRENGTH: 2 UNITS: MEQ/L BICARBONATE STRENGTH: 35 UNITS: MEQ/L SODIUM STRENGTH: 140 UNITS: MEQ/L
NATIONAL FORMULARY NAME	DUOSOL SOLN,DIALYSIS
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 COPAY EFFECTIVE DATE: 2019-06-17 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	DIALYSATE,DUOSOL BICARB 35 2K/3CA B#4552
VA PRODUCT IDENTIFIER	D1211
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	BAG
MASTER ENTRY FOR VUID	YES
VUID	4038468
EFFECTIVE DATE/TIME	2019-06-18 00:00:00 STATUS: ACTIVE 2019-06-18 00:00:00 STATUS: ACTIVE