DEXTROSE 4%/ELECTROLYTE 27 INJ (5461) VA PRODUCT (50.68)

Name	Value
NAME	DEXTROSE 4%/ELECTROLYTE 27 INJ
VA GENERIC NAME	DEXTROSE/ELECTROLYTES
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	SODIUM LACTATE STRENGTH: 62 UNITS: MG/100ML SODIUM CHLORIDE STRENGTH: 120 UNITS: MG/100ML DEXTROSE STRENGTH: 4 UNITS: GM/100ML POTASSIUM CHLORIDE STRENGTH: 6 UNITS: MG/100ML CALCIUM CHLORIDE STRENGTH: 4 UNITS: MG/100ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-03-18 00:00:00
DSS NUMBER	30
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	4005991
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-03-18 00:00:00 STATUS: INACTIVE