PLEGISOL SOLN,IRRG (5491) VA PRODUCT (50.68)

Name	Value
NAME	PLEGISOL SOLN,IRRG
VA GENERIC NAME	ELECTROLYTES
DOSAGE FORM	SOLN,IRRG
ACTIVE INGREDIENTS	SODIUM CHLORIDE STRENGTH: 643 UNITS: MG POTASSIUM CHLORIDE STRENGTH: 119.3 UNITS: MG CALCIUM CHLORIDE STRENGTH: 17.6 UNITS: MG MAGNESIUM CHLORIDE STRENGTH: 325.3 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	5
NATIONAL FORMULARY NAME	ELECTROLYTES 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	4006021
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-27 00:00:00 STATUS: INACTIVE 2007-10-10 00:00:00 STATUS: ACTIVE