FREAMINE III 8.5%/DEXTROSE 50% KIT INJ (5784) VA PRODUCT (50.68)

Name	Value
NAME	FREAMINE III 8.5%/DEXTROSE 50% KIT INJ
VA GENERIC NAME	AMINO ACIDS/DEXTROSE
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	ALANINE STRENGTH: 600 UNITS: MG/100ML ARGININE STRENGTH: 810 UNITS: MG/100ML HISTIDINE STRENGTH: 240 UNITS: MG/100ML ISOLEUCINE STRENGTH: 590 UNITS: MG/100ML METHIONINE STRENGTH: 450 UNITS: MG/100ML PHENYLALANINE STRENGTH: 480 UNITS: MG/100ML PROLINE STRENGTH: 950 UNITS: MG/100ML SERINE STRENGTH: 500 UNITS: MG/100ML THREONINE STRENGTH: 340 UNITS: MG/100ML TRYPTOPHAN STRENGTH: 130 UNITS: MG/100ML VALINE STRENGTH: 560 UNITS: MG/100ML LYSINE STRENGTH: 620 UNITS: MG/100ML LEUCINE STRENGTH: 770 UNITS: MG/100ML CYSTEINE HYDROCHLORIDE MONOHYDRATE STRENGTH: 20 UNITS: MG/100ML DEXTROSE STRENGTH: 50 UNITS: % GLYCINE STRENGTH: 1190 UNITS: MG/100ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	5
NATIONAL FORMULARY NAME	AMINO ACIDS/DEXTROSE 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	4006309
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE