TRAVASOL 5.5% INJ (5351)    VA PRODUCT (50.68)

Name Value
NAME TRAVASOL 5.5% INJ
VA GENERIC NAME AMINO ACIDS
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 5.5
INACTIVATION DATE 2009-08-12 00:00:00
UNITS %
DSS NUMBER 19
NATIONAL FORMULARY NAME AMINO ACIDS INJ
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    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 4005887
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-08-12 00:00:00
    STATUS:   INACTIVE