KCL 0.37MG/NACL 1.75GM/TROMETHAMINE 36GM/BTL INJ (5520) VA PRODUCT (50.68)

Name	Value
NAME	KCL 0.37MG/NACL 1.75GM/TROMETHAMINE 36GM/BTL INJ
VA GENERIC NAME	POTASSIUM CHLORIDE/SODIUM CHLORIDE/TROMETHAMINE
DOSAGE FORM	INJ
ACTIVE INGREDIENTS	SODIUM CHLORIDE STRENGTH: 1.75 POTASSIUM CHLORIDE STRENGTH: 0.37 UNITS: MG/BTL TROMETHAMINE STRENGTH: 36
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	POTASSIUM CHLORIDE/SODIUM CHLORIDE/TROMETHAMINE INJ
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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4006049
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE