KIT PREP OF TECHNETUM TC-99 MEDRONATE INJ (29133) VA PRODUCT (50.68)

Name	Value
NAME	KIT PREP OF TECHNETUM TC-99 MEDRONATE INJ
VA GENERIC NAME	TECHNETIUM
DOSAGE FORM	KIT
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	STANNOUS FLUORIDE MEDRONATE DISODIUM TECHNETIUM (Tc 99m)
NATIONAL FORMULARY NAME	TECHNETIUM KIT
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 COPAY EFFECTIVE DATE: 2019-03-22 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	KIT PREP OF TECHNETUM TC-99 MEDRONATE
VA PRODUCT IDENTIFIER	K0074
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	KIT
MASTER ENTRY FOR VUID	YES
VUID	4038258
EFFECTIVE DATE/TIME	2019-03-22 00:00:00 STATUS: ACTIVE