DEXTROSE 5%/LACTATED RINGER'S/KCL 40MEQ/L INJ (6892) VA PRODUCT (50.68)

Name	Value
NAME	DEXTROSE 5%/LACTATED RINGER'S/KCL 40MEQ/L INJ
VA GENERIC NAME	DEXTROSE/LACTATED RINGER'S/POTASSIUM CHLORIDE
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	CHLORIDE STRENGTH: 109 UNITS: MEQ/L CALCIUM STRENGTH: 3 UNITS: MEQ/L LACTATE STRENGTH: 28 UNITS: MEQ/L POTASSIUM STRENGTH: 4 UNITS: MEQ/L DEXTROSE STRENGTH: 5 UNITS: % POTASSIUM CHLORIDE STRENGTH: 40 UNITS: MEQ/L SODIUM STRENGTH: 130 UNITS: MEQ/L
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	3
NATIONAL FORMULARY NAME	DEXTROSE/LACTATED RINGER'S/POTASSIUM CHLORIDE 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	4007404
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE