PHENOL 0.5% SPRAY,ORAL TOP (13822)    VA PRODUCT (50.68)

Name Value
NAME PHENOL 0.5% SPRAY,ORAL TOP
VA GENERIC NAME PHENOL
DOSAGE FORM SPRAY,ORAL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
  • PHENOL
    STRENGTH:   0.5
    UNITS:   %
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.5
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2017-01-19 00:00:00
UNITS %
NATIONAL FORMULARY NAME PHENOL SPRAY,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 PHENOL 0.5% ORAL SPRAY TOP
VA PRODUCT IDENTIFIER P0545
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4014186
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE