FLUDEOXYGLUCOSE F 18 (20-200 MCI/ML) INJ (28783) VA PRODUCT (50.68)

Name	Value
NAME	FLUDEOXYGLUCOSE F 18 (20-200 MCI/ML) INJ
VA GENERIC NAME	FLUDEOXYGLUCOSE F 18
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	FLUDEOXYGLUCOSE STRENGTH: 20-200 UNITS: MCI/ML
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: 2018-09-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	FLUDEOXYGLUCOSE F 18 (20-200 MCI/ML) INJ
VA PRODUCT IDENTIFIER	F0668
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4037848
EFFECTIVE DATE/TIME	2018-09-27 00:00:00 STATUS: ACTIVE