PHOSPHORIC ACID 1.5GM/NA FLUORIDE 2.7GM SOLN (7378) VA PRODUCT (50.68)

Name	Value
NAME	PHOSPHORIC ACID 1.5GM/NA FLUORIDE 2.7GM SOLN
VA GENERIC NAME	PHOSPHORIC ACID/SODIUM FLUORIDE
DOSAGE FORM	SOLN
ACTIVE INGREDIENTS	PHOSPHORIC ACID STRENGTH: 1.5 UNITS: GM SODIUM FLUORIDE STRENGTH: 2.7 UNITS: GM
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-10-01 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	PHOSPHORIC ACID/SODIUM FLUORIDE SOLN
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	4007883
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-10-01 00:00:00 STATUS: INACTIVE