SODIUM FLUORIDE 2.2MG/5ML SOLN (4379)    VA PRODUCT (50.68)

Name Value
NAME SODIUM FLUORIDE 2.2MG/5ML SOLN
VA GENERIC NAME SODIUM FLUORIDE
DOSAGE FORM SOLN,DENTAL
FORMULARY DESIGNATOR TEXT
Not provided by pharmacy for inpatient use.
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 2.2
INACTIVATION DATE 2010-02-18 00:00:00
UNITS MG/5ML
DSS NUMBER 10
NATIONAL FORMULARY NAME SODIUM FLUORIDE SOLN
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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4004926
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2010-02-18 00:00:00
    STATUS:   INACTIVE