SODIUM FLUORIDE 0.685GM LIQUID,DENT (4397)    VA PRODUCT (50.68)

Name Value
NAME SODIUM FLUORIDE 0.685GM LIQUID,DENT
VA GENERIC NAME SODIUM FLUORIDE
DOSAGE FORM LIQUID,DENT
FORMULARY DESIGNATOR TEXT 
Not provided by pharmacy for inpatient use.
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.685
INACTIVATION DATE 2007-10-01 00:00:00
UNITS GM
DSS NUMBER 28
NATIONAL FORMULARY NAME SODIUM FLUORIDE LIQUID,DENT
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 4004944
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-10-01 00:00:00
    STATUS:   INACTIVE