BALANCED SALT PLUS SOLN,OPH IRRG (9951) VA PRODUCT (50.68)

Name	Value
NAME	BALANCED SALT PLUS SOLN,OPH IRRG
VA GENERIC NAME	BALANCED SALT SOLUTION
DOSAGE FORM	SOLN,OPH IRRG
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	CALCIUM CHLORIDE DIHYDRATE STRENGTH: 3.85 UNITS: MG/ML GLUTATHIONE STRENGTH: 4.6 UNITS: MG/ML DEXTROSE STRENGTH: 23 UNITS: MG/ML SODIUM HYDROXIDE HYDROCHLORIC ACID
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	2
NATIONAL FORMULARY NAME	BALANCED SALT SOLUTION SOLN,OPH IRRG
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	BALANCED SALT PLUS OPH IRRG SOLN
VA PRODUCT IDENTIFIER	B0265
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4010342
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE