SODIUM PO4 0.143%/NA CL 0.5%/K PHOSPHATE 0.036%/PHENOL 0.4% SOLN (7829) VA PRODUCT (50.68)

Name	Value
NAME	SODIUM PO4 0.143%/NA CL 0.5%/K PHOSPHATE 0.036%/PHENOL 0.4% SOLN
VA GENERIC NAME	PHENOL/POTASSIUM PHOSPHATE/SODIUM CHLORIDE/SODIUM PHOSPHATE
DOSAGE FORM	SOLN
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	POTASSIUM PHOSPHATE,MONOBASIC STRENGTH: 0.036 UNITS: % PHENOL STRENGTH: 0.4 UNITS: % SODIUM CHLORIDE STRENGTH: 0.5 UNITS: % SODIUM PHOSPHATE STRENGTH: 0.143 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-25 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	PHENOL/POTASSIUM PHOSPHATE/SODIUM CHLORIDE/SODIUM PHOSPHATE SOLN
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	NA PHOS 0.143/NACL 0.5/K PHOS 0.036/PHEN
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4008307
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-25 00:00:00 STATUS: INACTIVE