SODIUM BIPHOSPHATE 1%/SODIUM FLUORIDE 2.9% PASTE,DENT (7357)    VA PRODUCT (50.68)

Name Value
NAME SODIUM BIPHOSPHATE 1%/SODIUM FLUORIDE 2.9% PASTE,DENT
VA GENERIC NAME SODIUM BIPHOSPHATE/SODIUM FLUORIDE
DOSAGE FORM PASTE
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 2
NATIONAL FORMULARY NAME SODIUM BIPHOSPHATE/SODIUM FLUORIDE PASTE
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 4007862
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-10-01 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE