TECHNESCAN MDP KIT (3407) VA PRODUCT (50.68)

Name	Value
NAME	TECHNESCAN MDP KIT
VA GENERIC NAME	METHYLENE DIPHOSPHONIC ACID/STANNOUS CHLORIDE
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	TECHNETIUM Tc 99m SODIUM PERTECHNETATE STANNOUS CHLORIDE STRENGTH: 0.8 UNITS: MG METHYLENE DIPHOSPHONIC ACID STRENGTH: 10 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2004-11-19 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	METHYLENE DIPHOSPHONIC ACID/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	NO
VUID	4003974
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2007-09-25 00:00:00 STATUS: INACTIVE 2004-11-19 00:00:00 STATUS: INACTIVE