DEXTROSE 5%/NACL 0.117%/SODIUM LACTATE 0.056% INJ (6857)    VA PRODUCT (50.68)

Name Value
NAME DEXTROSE 5%/NACL 0.117%/SODIUM LACTATE 0.056% INJ
VA GENERIC NAME DEXTROSE/SODIUM CHLORIDE/SODIUM LACTATE
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 1
NATIONAL FORMULARY NAME DEXTROSE/SODIUM CHLORIDE/SODIUM LACTATE INJ,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 YES
VUID 4007370
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE