STANNOUS FLUORIDE 1.64% LIQUID,DENT (6777)    VA PRODUCT (50.68)

Name Value
NAME STANNOUS FLUORIDE 1.64% LIQUID,DENT
VA GENERIC NAME STANNOUS FLUORIDE
DOSAGE FORM LIQUID,DENT
FORMULARY DESIGNATOR TEXT 
Not provided by pharmacy for inpatient use.
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1.64
INACTIVATION DATE 2002-10-21 00:00:00
UNITS %
DSS NUMBER 1
NATIONAL FORMULARY NAME STANNOUS 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 4007293
EFFECTIVE DATE/TIME
  • 2002-10-21 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE