CITRIC ACID 1GM/POTASSIUM CITRATE 3.3GM/PKT PWDR (7433) VA PRODUCT (50.68)

Name	Value
NAME	CITRIC ACID 1GM/POTASSIUM CITRATE 3.3GM/PKT PWDR
VA GENERIC NAME	CITRIC ACID/POTASSIUM CITRATE
DOSAGE FORM	GRANULES
ACTIVE INGREDIENTS	POTASSIUM CITRATE STRENGTH: 3.3 UNITS: GM CITRIC ACID STRENGTH: 1 UNITS: GM
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2004-11-18 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	CITRIC ACID/POTASSIUM CITRATE GRANULES
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	POLYCITRA-K CRYSTALS
VA PRODUCT IDENTIFIER	C0456
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	NO
VUID	4007938
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2004-11-18 00:00:00 STATUS: INACTIVE