WOUND CLEANSER LIQUID (13101)    VA PRODUCT (50.68)

Name Value
NAME WOUND CLEANSER LIQUID
VA GENERIC NAME CLEANSER
DOSAGE FORM LIQUID,TOP
FORMULARY DESIGNATOR TEXT 
Not supplied by pharmacy for inpatient use.
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2007-10-05 00:00:00
NATIONAL FORMULARY NAME CLEANSER LIQUID,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME WOUND CLEANSER LIQUID
VA PRODUCT IDENTIFIER XX581
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4013466
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-26 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2007-10-05 00:00:00
    STATUS:   INACTIVE