SODIUM FLUORIDE 0.25MG DROPS,ORAL (4400)    VA PRODUCT (50.68)

Name Value
NAME SODIUM FLUORIDE 0.25MG DROPS,ORAL
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
DSS NUMBER 31
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 4004947
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-25 00:00:00
    STATUS:   INACTIVE