FLUORIDE 0.125MG/GTT DROPS,ORAL (4386)    VA PRODUCT (50.68)

Name Value
NAME FLUORIDE 0.125MG/GTT DROPS,ORAL
VA GENERIC NAME SODIUM FLUORIDE
DOSAGE FORM DROPS,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.125
INACTIVATION DATE 2010-11-30 00:00:00
UNITS MG/GTT
DSS NUMBER 17
NATIONAL FORMULARY NAME SODIUM FLUORIDE LIQUID
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 4004933
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2010-11-30 00:00:00
    STATUS:   INACTIVE