FLUDEOXYGLUCOSE F 18 (10-100 MCI/ML) INJ (17002)    VA PRODUCT (50.68)

Name Value
NAME FLUDEOXYGLUCOSE F 18 (10-100 MCI/ML) INJ
VA GENERIC NAME FLUDEOXYGLUCOSE F 18
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-19 00:00:00
NATIONAL FORMULARY NAME FLUDEOXYGLUCOSE F 18 INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
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
VA PRINT NAME FLUDEOXYGLUCOSE F 18 (10-100 MCI/ML) INJ
VA PRODUCT IDENTIFIER F0332
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4017365
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE
  • 2012-01-06 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE