SODIUM HYDROXYMETHANE DIPHOSPHONATE 2MG/STANNOUS CL 0.16MG INJ (3383)    VA PRODUCT (50.68)

Name Value
NAME SODIUM HYDROXYMETHANE DIPHOSPHONATE 2MG/STANNOUS CL 0.16MG INJ
VA GENERIC NAME SODIUM HYDROXYMETHANE/STANNOUS CHLORIDE
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-25 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME SODIUM HYDROXYMETHANE/STANNOUS CHLORIDE INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE YES
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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4003950
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-25 00:00:00
    STATUS:   INACTIVE