MAGNESIUM S04 225/POTASSIUM CL 188MG/SODIUM S04 1.479GM TAB,ORAL (31165) VA PRODUCT (50.68)

Name	Value
NAME	MAGNESIUM S04 225/POTASSIUM CL 188MG/SODIUM S04 1.479GM TAB,ORAL
VA GENERIC NAME	MAGNESIUM SULFATE/POTASSIUM CHLORIDE/SODIUM SULFATE
DOSAGE FORM	TAB,ORAL
FDA MED GUIDE	Mag_Pot_Sod_Sulfate_Tab_(Sutab)_(2022).pdf
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	SODIUM SULFATE STRENGTH: 1.479 UNITS: GM POTASSIUM (AS CHLORIDE) STRENGTH: 188 UNITS: MG MAGNESIUM SULFATE STRENGTH: 225 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	MAGNESIUM SULFATE/POTASSIUM CHLORIDE/SODIUM SULFATE TAB,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2021-05-28 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	SUTAB ORAL TAB
VA PRODUCT IDENTIFIER	S0920
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4040518
EFFECTIVE DATE/TIME	2021-05-28 00:00:00 STATUS: ACTIVE 2021-05-28 00:00:00 STATUS: ACTIVE 2021-05-28 00:00:00 STATUS: ACTIVE