DIALYSATE,DUOSOL BICARB 25 4K/0CA BRAUN #4556 (32971)    VA PRODUCT (50.68)

Name Value
NAME DIALYSATE,DUOSOL BICARB 25 4K/0CA BRAUN #4556
ACTIVE INGREDIENTS
COPAY TIER
PGX ELIGIBLE NO
PGX SUPPRESSED NO
EFFECTIVE DATE/TIME