MULTIPLE ELECTROLYTE ADDITIVE INJ,CONC (7124) VA PRODUCT (50.68)

Name	Value
NAME	MULTIPLE ELECTROLYTE ADDITIVE INJ,CONC
VA GENERIC NAME	ACETATE/CALCIUM/CHLORIDE/GLUCONATE/MAGNESIUM/POTASSIUM/SODIUM/SU
DOSAGE FORM	INJ,CONC-SOLN
ACTIVE INGREDIENTS	SODIUM ACETATE,ANHYDROUS STRENGTH: 32.8 UNITS: MG SODIUM CHLORIDE STRENGTH: 35 UNITS: MG POTASSIUM CHLORIDE STRENGTH: 29.8 UNITS: MG MAGNESIUM SULFATE STRENGTH: 19.8 UNITS: MG CALCIUM GLUCONATE STRENGTH: 21.6 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	2
NATIONAL FORMULARY NAME	ACETATE/CALCIUM/CHLORIDE/GLUCONATE/MAGNESIUM/POTASSIUM/SODIUM/SU INJ,CONC-SOLN
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	4007634
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE