| NAME |
CETYLPYRIDINIUM CL 0.05%/DYCLONINE HCL 0.1% (SF) SPRAY |
| VA GENERIC NAME |
CETYLPYRIDINIUM CHLORIDE/DYCLONINE HCL |
| DOSAGE FORM |
LIQUID,AEROSOL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2010-02-18 00:00:00 |
| NATIONAL FORMULARY NAME |
CETYLPYRIDINIUM CHLORIDE/DYCLONINE HCL LIQUID,AEROSOL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
CETYLPYRID 0.5/DYCLONINE 0.1%(SF) SPRAY |
| VA PRODUCT IDENTIFIER |
C0836 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4013472 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2010-02-18 00:00:00
- STATUS: INACTIVE
|
