ISOLYTE S (pH7.4) INJ (9214) VA PRODUCT (50.68)

Name	Value
NAME	ISOLYTE S (pH7.4) INJ
VA GENERIC NAME	ACETATE/CHLORIDE/GLUCONATE/MAGNESIUM/POTASSIUM/SODIUM
DOSAGE FORM	INJ
ACTIVE INGREDIENTS	GLUCONATE STRENGTH: 23 UNITS: MEQ/ML CHLORIDE STRENGTH: 98 UNITS: MEQ/ML ACETATE STRENGTH: 27 UNITS: MEQ/ML MAGNESIUM STRENGTH: 3 UNITS: MEQ/ML POTASSIUM STRENGTH: 5 UNITS: MEQ/ML SODIUM STRENGTH: 140 UNITS: MEQ/ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	2
NATIONAL FORMULARY NAME	ACETATE/CHLORIDE/GLUCONATE/MAGNESIUM/POTASSIUM/SODIUM INJ
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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4009644
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE