TRICLOSAN 0.25% SOLN,TOP (12770)    VA PRODUCT (50.68)

Name Value
NAME TRICLOSAN 0.25% SOLN,TOP
VA GENERIC NAME TRICLOSAN
DOSAGE FORM SOLN,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.25
UNITS %
DSS NUMBER 1
NATIONAL FORMULARY NAME TRICLOSAN SOLN,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 TRICLOSAN 0.25% TOP SOLN
VA PRODUCT IDENTIFIER T0386
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4013135
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-21 00:00:00
    STATUS:   INACTIVE
  • 2022-03-07 00:00:00
    STATUS:   ACTIVE