DEXTROSE 50%/ELECTROLYTES INJ (5438) VA PRODUCT (50.68)

Name	Value
NAME	DEXTROSE 50%/ELECTROLYTES INJ
VA GENERIC NAME	DEXTROSE/ELECTROLYTES
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	POTASSIUM PHOSPHATE,DIBASIC STRENGTH: 418 UNITS: MG/100ML SODIUM ACETATE STRENGTH: 295 UNITS: MG/100ML SODIUM CHLORIDE STRENGTH: 374 UNITS: MG/100ML DEXTROSE STRENGTH: 50 UNITS: GM/100ML POTASSIUM CHLORIDE STRENGTH: 239 UNITS: MG/100ML MAGNESIUM CHLORIDE STRENGTH: 170 UNITS: MG/100ML
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	7
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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4005968
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE