ANTICOAGULANT CITRATE DEXTROSE INJ (7288) VA PRODUCT (50.68)

Name	Value
NAME	ANTICOAGULANT CITRATE DEXTROSE INJ
VA GENERIC NAME	ANTICOAGULANT CITRATE DEXTROSE
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	DEXTROSE STRENGTH: 2.45 UNITS: GM SODIUM CITRATE STRENGTH: 2.2 UNITS: GM CITRIC ACID STRENGTH: 730 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	1
NATIONAL FORMULARY NAME	ANTICOAGULANT CITRATE DEXTROSE 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	4007796
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE