PLASMA-LYTE A INJ (5503) VA PRODUCT (50.68)

Name	Value
NAME	PLASMA-LYTE A INJ
VA GENERIC NAME	ELECTROLYTES
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	SODIUM GLUCONATE STRENGTH: 502 UNITS: MG/100ML SODIUM ACETATE STRENGTH: 368 UNITS: MG/100ML SODIUM CHLORIDE STRENGTH: 526 UNITS: MG/100ML POTASSIUM CHLORIDE STRENGTH: 37 UNITS: MG/100ML MAGNESIUM CHLORIDE STRENGTH: 30 UNITS: MG/100ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	17
NATIONAL FORMULARY NAME	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	4006032
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE