NA FLUORIDE 0.2MG/SD ALCOHOL 38-B 6.65%/ML LIQUID (9305) VA PRODUCT (50.68)

Name	Value
NAME	NA FLUORIDE 0.2MG/SD ALCOHOL 38-B 6.65%/ML LIQUID
VA GENERIC NAME	ALCOHOL/FLUORIDE
DOSAGE FORM	LIQUID,DENT
ACTIVE INGREDIENTS	ZINC CHLORIDE SACCHARIN SODIUM GLYCERIN SODIUM LAURYL SULFATE SODIUM FLUORIDE STRENGTH: 0.2 UNITS: MG/ML D & C YELLOW #10 F D & C GREEN #3 FLAVOR POLOXAMER 407 SD ALCOHOL 38-B STRENGTH: 6.65 UNITS: % SODIUM CITRATE CITRIC ACID
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-10-01 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ALCOHOL/FLUORIDE LIQUID
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	4009731
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-10-01 00:00:00 STATUS: INACTIVE