DEXTRAN-70,6%/DEXTROSE 5% INJ (3322) VA PRODUCT (50.68)

Name	Value
NAME	DEXTRAN-70,6%/DEXTROSE 5% INJ
VA GENERIC NAME	DEXTRAN 70/DEXTROSE
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	DEXTROSE STRENGTH: 5 UNITS: % DEXTRAN 70 STRENGTH: 6 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	1
NATIONAL FORMULARY NAME	DEXTRAN 70/DEXTROSE INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4003892
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE