SODIUM PERTECHNETATE (Tc 99m) 60MIL INJ (1442)    VA PRODUCT (50.68)

Name Value
NAME SODIUM PERTECHNETATE (Tc 99m) 60MIL INJ
VA GENERIC NAME SODIUM PERTECHNETATE (Tc 99m)
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 60
INACTIVATION DATE 2007-09-25 00:00:00
UNITS MIL
DSS NUMBER 2
NATIONAL FORMULARY NAME SODIUM PERTECHNETATE (TC 99M) SOLN
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 4002041
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-25 00:00:00
    STATUS:   INACTIVE