INFALYTE LIQUID,ORAL (5510) VA PRODUCT (50.68)

Name	Value
NAME	INFALYTE LIQUID,ORAL
VA GENERIC NAME	ELECTROLYTES
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	CHLORIDE STRENGTH: 45 UNITS: MEQ/L CITRATE STRENGTH: 34 UNITS: MEQ/L POTASSIUM STRENGTH: 25 UNITS: MEQ/L RICE SYRUP SOLIDS SODIUM STRENGTH: 50 UNITS: MEQ/L
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-20 00:00:00
DSS NUMBER	24
NATIONAL FORMULARY NAME	ELECTROLYTES LIQUID,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	NUTRITION SUPL INFALYTE LIQUID 1000ML
VA PRODUCT IDENTIFIER	N0262
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	BTL
MASTER ENTRY FOR VUID	YES
VUID	4006039
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-20 00:00:00 STATUS: INACTIVE