GLUCEPTATE SODIUM 200MG/STANNOUS CHLORIDE 0.1MG INJ (7333)    VA PRODUCT (50.68)

Name Value
NAME GLUCEPTATE SODIUM 200MG/STANNOUS CHLORIDE 0.1MG INJ
VA GENERIC NAME GLUCEPTATE/STANNOUS CHLORIDE
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2003-03-19 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME GLUCEPTATE/STANNOUS CHLORIDE INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    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 4007839
EFFECTIVE DATE/TIME
  • 2003-03-19 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE