FLUOSOL SOLUTION 1 (8697) VA PRODUCT (50.68)

Name	Value
NAME	FLUOSOL SOLUTION 1
VA GENERIC NAME	POTASSIUM CHLORIDE/SODIUM BICARBONATE
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	POTASSIUM CHLORIDE STRENGTH: 0.168 UNITS: GM/30ML WATER FOR INJECTION SODIUM BICARBONATE STRENGTH: 1.05 UNITS: GM/30ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-05-24 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	POTASSIUM CHLORIDE/SODIUM BICARBONATE 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	4009154
EFFECTIVE DATE/TIME	2002-05-24 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE