CITRIC ACID 334MG/K CITRATE 550MG/NA CITRATE 500MG/5ML SOLN,ORAL (7431) VA PRODUCT (50.68)

Name	Value
NAME	CITRIC ACID 334MG/K CITRATE 550MG/NA CITRATE 500MG/5ML SOLN,ORAL
VA GENERIC NAME	CITRIC ACID/POTASSIUM CITRATE/SODIUM CITRATE
DOSAGE FORM	SOLN,ORAL
ACTIVE INGREDIENTS	POTASSIUM CITRATE STRENGTH: 550 UNITS: MG/5ML SODIUM CITRATE STRENGTH: 500 UNITS: MG/5ML CITRIC ACID STRENGTH: 334 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	2
NATIONAL FORMULARY NAME	CITRIC ACID/POTASSIUM CITRATE/SODIUM CITRATE SOLN,ORAL
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
VA PRINT NAME	CITRIC 334/NA CIT 500/K CIT 550/5ML(SF)
VA PRODUCT IDENTIFIER	C1362
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4007936
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE