FREAMINE III 10% INJ,BTL,500ML (5369)    VA PRODUCT (50.68)

Name Value
NAME FREAMINE III 10% INJ,BTL,500ML
VA GENERIC NAME AMINO ACIDS
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 10
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS %
DSS NUMBER 37
NATIONAL FORMULARY NAME AMINO ACIDS INJ,SOLN
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
VA PRINT NAME FREAMINE III 10% INJ BTL 500ML
VA PRODUCT IDENTIFIER F0153
TRANSMIT TO CMOP NO
VA DISPENSE UNIT BTL
MASTER ENTRY FOR VUID YES
VUID 4005905
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE