HYDROFLUORIC ACID 0.28%/NAFL 1.088%/STANNOUS FLUORIDE 0.4% LIQ (6785)    VA PRODUCT (50.68)

Name Value
NAME HYDROFLUORIC ACID 0.28%/NAFL 1.088%/STANNOUS FLUORIDE 0.4% LIQ
VA GENERIC NAME HYDROFLUORIC ACID/SODIUM FLUORIDE/STANNOUS FLUORIDE
DOSAGE FORM LIQUID,DENT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-28 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME HYDROFLUORIC ACID/SODIUM FLUORIDE/STANNOUS FLUORIDE LIQUID
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 4007301
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-28 00:00:00
    STATUS:   INACTIVE