CURASOL WOUND CLEANSER (12769)    VA PRODUCT (50.68)

Name Value
NAME CURASOL WOUND CLEANSER
VA GENERIC NAME CURASOL
DOSAGE FORM LIQUID,TOP
FORMULARY DESIGNATOR TEXT
Not supplied by pharmacy for inpatient use.
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-19 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME CURASOL LIQUID,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
    COPAY END DATE:   2017-05-31 00:00:00
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-06-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CURASOL WOUND CLEANSER
VA PRODUCT IDENTIFIER XX444
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4013134
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE