TECHNETIUM 99M DTPA PENTETATE KIT (3409)    VA PRODUCT (50.68)

Name Value
NAME TECHNETIUM 99M DTPA PENTETATE KIT
VA GENERIC NAME TECHNETIUM
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 4
NATIONAL FORMULARY NAME TECHNETIUM INJ
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 4003976
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE
  • 2008-11-06 00:00:00
    STATUS:   ACTIVE