ELECTROLYTE SOLN,IRRG (7287) VA PRODUCT (50.68)

Name	Value
NAME	ELECTROLYTE SOLN,IRRG
VA GENERIC NAME	POTASSIUM CHLORIDE/POTASSIUM PHOSPHATE/SODIUM BICARBONATE
DOSAGE FORM	SOLN,IRRG
ACTIVE INGREDIENTS	POTASSIUM PHOSPHATE,DIBASIC STRENGTH: 740 UNITS: MG POTASSIUM PHOSPHATE,MONOBASIC STRENGTH: 205 UNITS: MG POTASSIUM CHLORIDE STRENGTH: 112 UNITS: MG SODIUM BICARBONATE STRENGTH: 84 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	1
NATIONAL FORMULARY NAME	POTASSIUM CHLORIDE/POTASSIUM PHOSPHATE/SODIUM BICARBONATE SOLN,IRRG
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	4007795
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE