POTASSIUM BICARBONATE 5MEQ/POTASSIUM CHLORIDE 20MEQ TAB,EFFERVSC (6124) VA PRODUCT (50.68)

Name	Value
NAME	POTASSIUM BICARBONATE 5MEQ/POTASSIUM CHLORIDE 20MEQ TAB,EFFERVSC
VA GENERIC NAME	POTASSIUM BICARBONATE/POTASSIUM CHLORIDE
DOSAGE FORM	TAB,EFFERVSC
ACTIVE INGREDIENTS	POTASSIUM BICARBONATE STRENGTH: 5 UNITS: MEQ LYSINE HYDROCHLORIDE STRENGTH: 0.91 UNITS: GM POTASSIUM CHLORIDE STRENGTH: 20 UNITS: MEQ CITRIC ACID STRENGTH: 0.55 UNITS: GM
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	25
INACTIVATION DATE	2007-09-25 00:00:00
UNITS	MEQ
DSS NUMBER	5
NATIONAL FORMULARY NAME	POTASSIUM BICARBONATE/POTASSIUM CHLORIDE TAB,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 25MEQ EFFER TAB
VA PRODUCT IDENTIFIER	P0193
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4006645
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-25 00:00:00 STATUS: INACTIVE