ANTICOAGULANT CITRATE DEXTROSE SOLN (6479) VA PRODUCT (50.68)

Name	Value
NAME	ANTICOAGULANT CITRATE DEXTROSE SOLN
VA GENERIC NAME	ANTICOAGULANT CITRATE DEXTROSE
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	DEXTROSE STRENGTH: 2.55 UNITS: GM SODIUM CITRATE STRENGTH: 2.63 UNITS: GM CITRIC ACID STRENGTH: 326.5 UNITS: MG SODIUM BIPHOSPHATE STRENGTH: 222.5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2004-11-18 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	ANTICOAGULANT CITRATE DEXTROSE 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	NO
VUID	4006998
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2004-11-18 00:00:00 STATUS: INACTIVE