DIATRIZOATE MEGLUMINE 30%/EDETATE DISODIUM 0.4MG INJ (932) VA PRODUCT (50.68)

Name	Value
NAME	DIATRIZOATE MEGLUMINE 30%/EDETATE DISODIUM 0.4MG INJ
VA GENERIC NAME	DIATRIZOATE
DOSAGE FORM	INJ
ACTIVE INGREDIENTS	DIATRIZOATE MEGLUMINE STRENGTH: 30 UNITS: % EDETATE DISODIUM STRENGTH: 0.4 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	7
NATIONAL FORMULARY NAME	DIATRIZOATE 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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4001538
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE