CITRIC AC 3.24%/MG OXIDE 0.38%/NA CARB 0.43% SOLN,IRRG (5755) VA PRODUCT (50.68)

Name	Value
NAME	CITRIC AC 3.24%/MG OXIDE 0.38%/NA CARB 0.43% SOLN,IRRG
VA GENERIC NAME	CITRIC ACID/MAGNESIUM OXIDE/SODIUM CARBONATE
DOSAGE FORM	SOLN,IRRG
ACTIVE INGREDIENTS	SODIUM CARBONATE STRENGTH: 0.43 UNITS: GM/100ML MAGNESIUM OXIDE STRENGTH: 0.38 UNITS: GM/100ML WATER FOR INJECTION STRENGTH: QSAD CITRIC ACID STRENGTH: 3.24 UNITS: GM/100ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-02-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CITRIC ACID/MAGNESIUM OXIDE/SODIUM CARBONATE SOLN,IRRG
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
VA PRINT NAME	SUBY-G UROLOGICAL IRRG SOLN
VA PRODUCT IDENTIFIER	C0455
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4006280
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-02-18 00:00:00 STATUS: INACTIVE