TPN ELECTROLYTES II INJ (5683) VA PRODUCT (50.68)

Name	Value
NAME	TPN ELECTROLYTES II INJ
VA GENERIC NAME	ACETATE/CALCIUM/CHLORIDE/MAGNESIUM/POTASSIUM/SODIUM
DOSAGE FORM	INJ,CONC-SOLN
ACTIVE INGREDIENTS	CHLORIDE STRENGTH: 35 UNITS: MEQ/L ACETATE STRENGTH: 7.5 UNITS: MEQ/L CALCIUM STRENGTH: 4.5 UNITS: MEQ/L MAGNESIUM STRENGTH: 5 UNITS: MEQ/L POTASSIUM STRENGTH: 18 UNITS: MEQ/L SODIUM STRENGTH: 15 UNITS: MEQ/L
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	5
NATIONAL FORMULARY NAME	ACETATE/CALCIUM/CHLORIDE/MAGNESIUM/POTASSIUM/SODIUM INJ,CONC-SOLN
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	4006208
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-27 00:00:00 STATUS: INACTIVE 2008-09-12 00:00:00 STATUS: ACTIVE