CITRIC ACID 334MG/POTASSIUM CITRATE 1100MG/5ML SOLN,ORAL (7432) VA PRODUCT (50.68)

Name	Value
NAME	CITRIC ACID 334MG/POTASSIUM CITRATE 1100MG/5ML SOLN,ORAL
VA GENERIC NAME	CITRIC ACID/POTASSIUM CITRATE
DOSAGE FORM	SOLN,ORAL
ACTIVE INGREDIENTS	POTASSIUM CITRATE STRENGTH: 1100 UNITS: MG/5ML CITRIC ACID MONOHYDRATE STRENGTH: 334 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	1
NATIONAL FORMULARY NAME	CITRIC ACID/POTASSIUM 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 ACID 334/POTASSIUM CIT 1100MG/5ML
VA PRODUCT IDENTIFIER	C1360
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4007937
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE