| NAME |
SODIUM CHLORIDE 23.4% SOLN,ORAL |
| VA GENERIC NAME |
SODIUM CHLORIDE |
| DOSAGE FORM |
SOLN,ORAL |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
23.4 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
% |
| NATIONAL FORMULARY NAME |
SODIUM CHLORIDE SOLN,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2023-03-09 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
SODIUM CHLORIDE 23.4% ORAL SOLN |
| VA PRODUCT IDENTIFIER |
S0969 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4042083 |
| EFFECTIVE DATE/TIME |
-
- 2023-03-09 00:00:00
- STATUS: ACTIVE
|
