TECHNETIUM TC 99M MAA UNIT DOSE INJ,SUSP (7494) VA PRODUCT (50.68)

Name	Value
NAME	TECHNETIUM TC 99M MAA UNIT DOSE INJ,SUSP
VA GENERIC NAME	ALBUMIN/STANNOUS TARTRATE
DOSAGE FORM	INJ,SUSP
ACTIVE INGREDIENTS	STANNOUS TARTRATE STRENGTH: 0.09 UNITS: MG ALBUMIN,AGGREGATED STRENGTH: 0.11 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	3
NATIONAL FORMULARY NAME	ALBUMIN/STANNOUS TARTRATE 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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4007998
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE 2008-11-06 00:00:00 STATUS: ACTIVE