CADEXOMER IODINE 0.9% GEL,PKT,10GM (12706)    VA PRODUCT (50.68)

Name Value
NAME CADEXOMER IODINE 0.9% GEL,PKT,10GM
VA GENERIC NAME CADEXOMER IODINE
DOSAGE FORM GEL,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.9
INACTIVATION DATE 2010-05-05 00:00:00
UNITS %
DSS NUMBER 2
NATIONAL FORMULARY NAME CADEXOMER IODINE GEL,TOP
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 CADEXOMER IODINE 0.9% GEL PKT 10GM
VA PRODUCT IDENTIFIER C0733
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4013071
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-28 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2010-05-05 00:00:00
    STATUS:   INACTIVE