| NDC Code | 69189-0104-1 |
| Package Description | 1 TABLET in 1 DOSE PACK (69189-0104-1) |
| Product NDC | 69189-0104 |
| Product Type Name | HUMAN PRESCRIPTION DRUG |
| Proprietary Name | Dibasic Sodium Phosphate, Monobasic Potassium Phosphate And Monobasic Sodium Phosphate |
| Non-Proprietary Name | Dibasic Sodium Phosphate, Monobasic Potassium Phosphate And Monobasic Sodium Phosphate |
| Dosage Form | TABLET |
| Usage | ORAL |
| Start Marketing Date | 20150311 |
| Marketing Category Name | UNAPPROVED DRUG OTHER |
| Manufacturer | Avera McKennan Hospital |
| Substance Name | SODIUM PHOSPHATE, DIBASIC, ANHYDROUS; POTASSIUM PHOSPHATE, MONOBASIC; SODIUM PHOSPHATE, MONOBASIC, MONOHYDRATE |
| Strength | 852; 155; 130 |
| Strength Unit | mg/1; mg/1; mg/1 |