LYPHOLYTE INJ,CONC (6714) VA PRODUCT (50.68)

Name	Value
NAME	LYPHOLYTE INJ,CONC
VA GENERIC NAME	ACETATE/CALCIUM/CHLORIDE/GLUCONATE/MAGNESIUM/POTASSIUM/SODIUM
DOSAGE FORM	INJ
ACTIVE INGREDIENTS	GLUCONATE STRENGTH: 5 UNITS: MEQ/20ML CHLORIDE STRENGTH: 33.5 UNITS: MEQ/20ML ACETATE STRENGTH: 40.6 UNITS: MEQ/20ML CALCIUM STRENGTH: 5 UNITS: MEQ/20ML MAGNESIUM STRENGTH: 8 UNITS: MEQ/20ML POTASSIUM STRENGTH: 40.5 UNITS: MEQ/20ML SODIUM STRENGTH: 25 UNITS: MEQ/20ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-02 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	ACETATE/CALCIUM/CHLORIDE/GLUCONATE/MAGNESIUM/POTASSIUM/SODIUM INJ
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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4007230
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE