TIS-U-SOL SOLN,IRRG (5460) VA PRODUCT (50.68)

Name	Value
NAME	TIS-U-SOL SOLN,IRRG
VA GENERIC NAME	ELECTROLYTES
DOSAGE FORM	SOLN,IRRG
ACTIVE INGREDIENTS	POTASSIUM PHOSPHATE,MONOBASIC STRENGTH: 6.25 UNITS: MG SODIUM PHOSPHATE DIHYDRATE STRENGTH: 8.75 UNITS: MG SODIUM CHLORIDE STRENGTH: 800 UNITS: MG DEXTROSE STRENGTH: 100 UNITS: MG POTASSIUM CHLORIDE STRENGTH: 40 UNITS: MG MAGNESIUM SULFATE STRENGTH: 20 UNITS: MG SODIUM PHOSPHATE STRENGTH: 8.75 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2004-11-19 00:00:00
DSS NUMBER	16
NATIONAL FORMULARY NAME	ELECTROLYTES SOLN,IRRG
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	TIS-U-SOL IRRG SOLN
VA PRODUCT IDENTIFIER	T0773
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	NO
VUID	4005990
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2009-05-26 00:00:00 STATUS: INACTIVE 2004-11-19 00:00:00 STATUS: INACTIVE 2009-05-26 00:00:00 STATUS: INACTIVE 2011-07-12 00:00:00 STATUS: ACTIVE