CHLOROXYLENOL 3% LOTION,TOP (13821)    VA PRODUCT (50.68)

Name Value
NAME CHLOROXYLENOL 3% LOTION,TOP
VA GENERIC NAME CHLOROXYLENOL
DOSAGE FORM LOTION,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 3
INACTIVATION DATE 2009-11-04 00:00:00
UNITS %
NATIONAL FORMULARY NAME CHLOROXYLENOL LOTION,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 CHLOROXYLENOL 3% TOP LOTION
VA PRODUCT IDENTIFIER C0941
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4014185
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-11-04 00:00:00
    STATUS:   INACTIVE