TECHNETIUM Tc99m TEBOROXIME KIT (3410)    VA PRODUCT (50.68)

Name Value
NAME TECHNETIUM Tc99m TEBOROXIME KIT
VA GENERIC NAME TECHNETIUM
DOSAGE FORM KIT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 5
NATIONAL FORMULARY NAME TECHNETIUM KIT
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 4003977
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