TRAVASOL 8.5% WITHOUT ELECTROLYTES KIT INJ (5786) VA PRODUCT (50.68)

Name	Value
NAME	TRAVASOL 8.5% WITHOUT ELECTROLYTES KIT INJ
VA GENERIC NAME	AMINO ACIDS/DEXTROSE
DOSAGE FORM	INJ
ACTIVE INGREDIENTS	ALANINE STRENGTH: 1.76 UNITS: GM ARGININE STRENGTH: 880 UNITS: MG HISTIDINE STRENGTH: 372 UNITS: MG ISOLEUCINE STRENGTH: 406 UNITS: MG METHIONINE STRENGTH: 492 UNITS: MG PHENYLALANINE STRENGTH: 526 UNITS: MG PROLINE STRENGTH: 356 UNITS: MG THREONINE STRENGTH: 356 UNITS: MG TRYPTOPHAN STRENGTH: 152 UNITS: MG TYROSINE STRENGTH: 34 UNITS: MG/100ML VALINE STRENGTH: 390 UNITS: MG LYSINE HYDROCHLORIDE STRENGTH: 492 UNITS: MG DEXTROSE STRENGTH: 50 UNITS: GM METYROSINE STRENGTH: 34 UNITS: MG GLYCINE STRENGTH: 1.76 UNITS: GM
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2004-11-19 00:00:00
DSS NUMBER	8
NATIONAL FORMULARY NAME	AMINO ACIDS/DEXTROSE INJ
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	NO
VUID	4006311
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2009-05-26 00:00:00 STATUS: INACTIVE 2004-11-19 00:00:00 STATUS: INACTIVE