HYDROFLUORIC ACID 0.2%/NAFL 2.6%/PHOSPHORIC ACID 1.3% SOLN,TOP (7647) VA PRODUCT (50.68)

Name	Value
NAME	HYDROFLUORIC ACID 0.2%/NAFL 2.6%/PHOSPHORIC ACID 1.3% SOLN,TOP
VA GENERIC NAME	HYDROFLUORIC ACID/PHOSPHORIC ACID/SODIUM FLUORIDE
DOSAGE FORM	SOLN,TOP
ACTIVE INGREDIENTS	HYDROFLUORIC ACID STRENGTH: 0.2 UNITS: % PHOSPHORIC ACID STRENGTH: 1.3 UNITS: % SODIUM FLUORIDE STRENGTH: 2.6 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	HYDROFLUORIC ACID/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	4008143
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE