NORMOSOL-M/DEXTROSE 5% INJ (5435)    VA PRODUCT (50.68)

Name Value
NAME NORMOSOL-M/DEXTROSE 5% INJ
VA GENERIC NAME DEXTROSE/ELECTROLYTES
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
DSS NUMBER 4
NATIONAL FORMULARY NAME DEXTROSE/ELECTROLYTES 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 NORMOSOL-M/DEXTROSE 5% INJ
VA PRODUCT IDENTIFIER N0557
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4005965
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE