NONOXYNOL-9 3.5% GEL,VAG,APPLICATOR,3.5GM (10076)    VA PRODUCT (50.68)

Name Value
NAME NONOXYNOL-9 3.5% GEL,VAG,APPLICATOR,3.5GM
VA GENERIC NAME NONOXYNOL
DOSAGE FORM GEL,VAG
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 3.5
INACTIVATION DATE 2009-08-12 00:00:00
UNITS %
DSS NUMBER 3
NATIONAL FORMULARY NAME NONOXYNOL GEL
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
VA PRINT NAME NONOXYNOL-9 3.5% VAG GEL APPLICATR 3.5GM
VA PRODUCT IDENTIFIER N0316
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4010460
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-08-12 00:00:00
    STATUS:   INACTIVE