| NAME |
PHOSPHORUS 3MMOL/POTASSIUM 4.4MEQ/ML (PF) INJ |
| VA GENERIC NAME |
POTASSIUM PHOSPHATE |
| DOSAGE FORM |
INJ,SOLN |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
3 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MM/ML |
| DSS NUMBER |
3 |
| NATIONAL FORMULARY NAME |
POTASSIUM PHOSPHATE INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
PHOSPHORUS 3MMOL/POTASSIUM 4.4MEQ/ML INJ |
| VA PRODUCT IDENTIFIER |
P1173 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4006189 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2007-09-24 00:00:00
- STATUS: INACTIVE
-
- 2007-10-10 00:00:00
- STATUS: ACTIVE
|
