SODIUM FLUORIDE F18 (10-200 MCI/ML) INJ (22850)    VA PRODUCT (50.68)

Name Value
NAME SODIUM FLUORIDE F18 (10-200 MCI/ML) INJ
VA GENERIC NAME SODIUM FLUORIDE
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME SODIUM FLUORIDE 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 SODIUM FLUORIDE F18 (10-200 MCI/ML) INJ
VA PRODUCT IDENTIFIER S0682
TRANSMIT TO CMOP NO
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4031222
EFFECTIVE DATE/TIME
  • 2012-01-06 00:00:00
    STATUS:   ACTIVE