SODIUM FLUORIDE 0.25MG/0.6ML LIQUID (4389)    VA PRODUCT (50.68)

Name Value
NAME SODIUM FLUORIDE 0.25MG/0.6ML LIQUID
VA GENERIC NAME SODIUM FLUORIDE
DOSAGE FORM LIQUID,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.25
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2021-04-15 00:00:00
UNITS MG/0.6ML
DSS NUMBER 20
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
VA PRINT NAME SODIUM FLUORIDE 0.25MG/0.6ML LIQUID
VA PRODUCT IDENTIFIER S0877
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4004936
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2021-04-15 00:00:00
    STATUS:   INACTIVE
  • 2021-04-15 00:00:00
    STATUS:   INACTIVE
  • 2021-04-15 00:00:00
    STATUS:   INACTIVE