| NAME |
FLUTEMETAMOL F-18 150MBQ/ML INJ,SOLN |
| VA GENERIC NAME |
FLUTEMETAMOL |
| DOSAGE FORM |
INJ,SOLN |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| STRENGTH |
150 |
| UNITS |
MBQ/ML |
| NATIONAL FORMULARY NAME |
FLUTEMETAMOL INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2019-03-22 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
FLUTEMETAMOL F-18 150MBQ/ML SOLN INJ |
| VA PRODUCT IDENTIFIER |
F0676 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4038263 |
| EFFECTIVE DATE/TIME |
-
- 2019-03-25 00:00:00
- STATUS: ACTIVE
|
