DEXTROSE 5%/NACL 0.2%/KCL 20MEQ/L INJ (5697) VA PRODUCT (50.68)

Name	Value
NAME	DEXTROSE 5%/NACL 0.2%/KCL 20MEQ/L INJ
VA GENERIC NAME	DEXTROSE/POTASSIUM CHLORIDE/SODIUM CHLORIDE
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	SODIUM CHLORIDE STRENGTH: 200 UNITS: MG/100ML DEXTROSE STRENGTH: 5 UNITS: GM/100ML POTASSIUM CHLORIDE STRENGTH: 20 UNITS: MEQ/L
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	12
NATIONAL FORMULARY NAME	DEXTROSE/POTASSIUM CHLORIDE/SODIUM CHLORIDE 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	4006222
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE