SODIUM FLUORIDE 1.1MG TAB,CHEWABLE (4378)    VA PRODUCT (50.68)

Name Value
NAME SODIUM FLUORIDE 1.1MG TAB,CHEWABLE
VA GENERIC NAME SODIUM FLUORIDE
DOSAGE FORM TAB,CHEWABLE
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1.1
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2019-01-02 00:00:00
UNITS MG
DSS NUMBER 9
NATIONAL FORMULARY NAME SODIUM FLUORIDE TAB,CHEWABLE
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 1.1MG CHEW TAB
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4004925
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2019-01-02 00:00:00
    STATUS:   INACTIVE