SODIUM FLUORIDE 0.25MG/MIN LIQUID (4387)    VA PRODUCT (50.68)

Name Value
NAME SODIUM FLUORIDE 0.25MG/MIN LIQUID
VA GENERIC NAME SODIUM FLUORIDE
DOSAGE FORM LIQUID,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.25
INACTIVATION DATE 2007-09-25 00:00:00
UNITS MG/MIN
DSS NUMBER 18
NATIONAL FORMULARY NAME SODIUM FLUORIDE LIQUID,ORAL
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 4004934
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-25 00:00:00
    STATUS:   INACTIVE