AN-MDP TECHNETIUM TC 99M MEDRONATE KIT (7337) VA PRODUCT (50.68)

Name	Value
NAME	AN-MDP TECHNETIUM TC 99M MEDRONATE KIT
VA GENERIC NAME	METHYLENE DIPHOSPHONIC ACID/STANNOUS CHLORIDE
DOSAGE FORM	INJ,SUSP
ACTIVE INGREDIENTS	STANNOUS CHLORIDE STRENGTH: 1.1 UNITS: MG METHYLENE DIPHOSPHONIC ACID STRENGTH: 11 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	METHYLENE DIPHOSPHONIC ACID/STANNOUS CHLORIDE INJ,SUSP
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
VA PRINT NAME	AN-MDP TECHNETIUM TC 99M MEDRONATE KIT
VA PRODUCT IDENTIFIER	A0867
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	KIT
MASTER ENTRY FOR VUID	YES
VUID	4007843
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE