POTASSIUM BICARB 5MEQ/POTASSIUM CHLORIDE 15MEQ/PKT GRNL,EFFERVSC (6123) VA PRODUCT (50.68)

Name	Value
NAME	POTASSIUM BICARB 5MEQ/POTASSIUM CHLORIDE 15MEQ/PKT GRNL,EFFERVSC
VA GENERIC NAME	POTASSIUM BICARBONATE/POTASSIUM CHLORIDE
DOSAGE FORM	GRNL,EFFERVSC
ACTIVE INGREDIENTS	POTASSIUM BICARBONATE STRENGTH: 5 UNITS: MEQ/PKT LYSINE HYDROCHLORIDE STRENGTH: 0.913 UNITS: GM/PKT POTASSIUM CHLORIDE STRENGTH: 15 UNITS: MEQ/PKT
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-25 00:00:00
DSS NUMBER	4
NATIONAL FORMULARY NAME	POTASSIUM BICARBONATE/POTASSIUM CHLORIDE GRNL,EFFERVSC
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	K BICARB/KCL 20MEQ/PKT EFFER GRNL
VA PRODUCT IDENTIFIER	P0187
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	YES
VUID	4006644
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-25 00:00:00 STATUS: INACTIVE