CHROMIUM 10MCG/COPPER 1MG/MANGANESE 0.5MG/ZINC 5MG/ML INJ (6873) VA PRODUCT (50.68)

Name	Value
NAME	CHROMIUM 10MCG/COPPER 1MG/MANGANESE 0.5MG/ZINC 5MG/ML INJ
VA GENERIC NAME	CHROMIC SULFATE/CUPRIC SULFATE/MANGANESE SULFATE/ZINC SULFATE
DOSAGE FORM	INJ
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	CHROMIC CHLORIDE STRENGTH: 10 UNITS: MCG/ML CHROMIUM (AS CHROMIC CHLORIDE) STRENGTH: 10 UNITS: MCG/ML CUPRIC SULFATE STRENGTH: 1 UNITS: MG/ML ZINC SULFATE STRENGTH: 5 UNITS: MG/ML MANGANESE SULFATE STRENGTH: 0.5 UNITS: MG/ML COPPER (AS CUPRIC SULFATE) STRENGTH: 1 UNITS: MG/ML MANGANESE (AS SULFATE) STRENGTH: 0.5 UNITS: MG/ML ZINC (AS SULFATE) STRENGTH: 5 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2004-11-18 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	CHROMIC SULFATE/CUPRIC SULFATE/MANGANESE SULFATE/ZINC SULFATE 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	NO
VUID	4007386
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2007-09-19 00:00:00 STATUS: INACTIVE 2004-11-18 00:00:00 STATUS: INACTIVE