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