TRACE ELEMENTS MIXED-5 INJ (7627) VA PRODUCT (50.68)

Name	Value
NAME	TRACE ELEMENTS MIXED-5 INJ
VA GENERIC NAME	CHROMIC CHLORIDE/CUPRIC CHLORIDE/MANGANESE CHLORIDE/SELENIUM/ZIN
DOSAGE FORM	INJ,SOLN
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	CHROMIC CHLORIDE STRENGTH: 20.5 UNITS: MCG/ML ZINC CHLORIDE STRENGTH: 2.085 UNITS: MG/ML CUPRIC CHLORIDE STRENGTH: 1.073 UNITS: MG/ML MANGANESE CHLORIDE STRENGTH: 0.36 UNITS: MG/ML SELENIOUS ACID STRENGTH: 32.67 UNITS: MCG/ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2009-05-26 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CHROMIC CHLORIDE/CUPRIC CHLORIDE/MANGANESE CHLORIDE/SELENIUM/ZIN INJ,SOLN
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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4008123
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE 2007-10-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE 2008-09-12 00:00:00 STATUS: ACTIVE 2009-05-26 00:00:00 STATUS: INACTIVE