FREAMINE III 2.125%/DEXTROSE 15%/ELECTROLYTES INFANT INJ (6887) VA PRODUCT (50.68)

Name	Value
NAME	FREAMINE III 2.125%/DEXTROSE 15%/ELECTROLYTES INFANT INJ
VA GENERIC NAME	AMINO ACIDS/DEXTROSE/ELECTROLYTES
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	POTASSIUM ACETATE STRENGTH: 196 UNITS: MG AMINO ACIDS STRENGTH: 2.125 UNITS: GM/100ML POTASSIUM PHOSPHATE,DIBASIC STRENGTH: 23.6 UNITS: MG POTASSIUM PHOSPHATE,MONOBASIC STRENGTH: 22.4 UNITS: MG SODIUM PHOSPHATE,DIBASIC STRENGTH: 28.4 UNITS: MG CUPRIC SULFATE STRENGTH: 70.6 UNITS: MCG ZINC SULFATE STRENGTH: 110 UNITS: MCG CYANOCOBALAMIN STRENGTH: 10 UNITS: MCG SODIUM ACETATE STRENGTH: 68 UNITS: MG SODIUM CHLORIDE STRENGTH: 117 UNITS: MG DEXTROSE STRENGTH: 15 UNITS: GM/100ML PHYTONADIONE STRENGTH: 300 UNITS: MCG SODIUM BIPHOSPHATE STRENGTH: 55.2 UNITS: MG CALCIUM CHLORIDE STRENGTH: 37 UNITS: MG MAGNESIUM CHLORIDE STRENGTH: 51 UNITS: MG FOLIC ACID STRENGTH: 150 UNITS: MCG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2009-05-26 00:00:00
DSS NUMBER	9
NATIONAL FORMULARY NAME	AMINO ACIDS/DEXTROSE/ELECTROLYTES 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	4007399
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2009-05-26 00:00:00 STATUS: INACTIVE