SODIUM FLUORIDE 0.05% SOLN (4383)    VA PRODUCT (50.68)

Name Value
NAME SODIUM FLUORIDE 0.05% 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 0.05
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2019-08-06 00:00:00
UNITS %
DSS NUMBER 14
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
VA PRINT NAME SODIUM FLUORIDE 0.05% SOLN
VA PRODUCT IDENTIFIER S0505
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4004930
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2019-08-06 00:00:00
    STATUS:   INACTIVE
  • 2019-08-06 00:00:00
    STATUS:   INACTIVE