AMINOSYN II 4.25%/DEXTROSE 25% INJ (5789) VA PRODUCT (50.68)

Name	Value
NAME	AMINOSYN II 4.25%/DEXTROSE 25% INJ
VA GENERIC NAME	AMINO ACIDS/DEXTROSE
DOSAGE FORM	INJ
ACTIVE INGREDIENTS	ALANINE STRENGTH: 4.22 UNITS: MG/ML ARGININE STRENGTH: 4.32 UNITS: MG/ML HISTIDINE STRENGTH: 1.28 UNITS: MG/ML ISOLEUCINE STRENGTH: 2.8 UNITS: MG/ML METHIONINE STRENGTH: 0.73 UNITS: MG/ML PHENYLALANINE STRENGTH: 1.26 UNITS: MG/ML PROLINE STRENGTH: 3.07 UNITS: MG/ML SERINE STRENGTH: 2.25 UNITS: MG/ML THREONINE STRENGTH: 1.7 UNITS: MG/ML TRYPTOPHAN STRENGTH: 0.85 UNITS: MG/ML TYROSINE STRENGTH: 1.15 UNITS: MG/ML VALINE STRENGTH: 2.12 UNITS: MG/ML GLUTAMIC ACID STRENGTH: 3.14 UNITS: MG/ML LYSINE STRENGTH: 4.46 UNITS: MG/ML LEUCINE STRENGTH: 4.25 UNITS: MG/ML AMINO ACIDS STRENGTH: 4.25 UNITS: % NITROGEN STRENGTH: 6.5 UNITS: MG/ML DEXTROSE STRENGTH: 25 UNITS: % GLYCINE STRENGTH: 2.12 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2012-01-04 00:00:00
DSS NUMBER	10
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
VA PRINT NAME	AMINOSYN II 4.25%/DEXTROSE 25% INJ
VA PRODUCT IDENTIFIER	A1412
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4006313
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2012-01-04 00:00:00 STATUS: INACTIVE