SODIUM FLUORIDE 1MG LOZENGE (4374)    VA PRODUCT (50.68)

Name Value
NAME SODIUM FLUORIDE 1MG LOZENGE
VA GENERIC NAME SODIUM FLUORIDE
DOSAGE FORM LOZENGE
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1
INACTIVATION DATE 2008-09-02 00:00:00
UNITS MG
DSS NUMBER 5
NATIONAL FORMULARY NAME SODIUM FLUORIDE LOZENGE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SODIUM FLUORIDE 1MG LOZENGE
VA PRODUCT IDENTIFIER S0510
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4004921
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE