CITRIC ACID 640MG/SODIUM CITRATE 490MG/5ML SOLN,ORAL (7607) VA PRODUCT (50.68)

Name	Value
NAME	CITRIC ACID 640MG/SODIUM CITRATE 490MG/5ML SOLN,ORAL
VA GENERIC NAME	CITRIC ACID/SODIUM CITRATE
DOSAGE FORM	SOLN,ORAL
ACTIVE INGREDIENTS	SODIUM CITRATE STRENGTH: 490 UNITS: MG/5ML CITRIC ACID STRENGTH: 640 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	1
NATIONAL FORMULARY NAME	CITRIC ACID/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	ORACIT SOLN
VA PRODUCT IDENTIFIER	C0216
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4008103
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE