CLEANSER,ODO-KLEEN SOLN (14511)    VA PRODUCT (50.68)

Name Value
NAME CLEANSER,ODO-KLEEN SOLN
VA GENERIC NAME CLEANSER
DOSAGE FORM SOLN
NATIONAL FORMULARY NAME CLEANSER SOLN
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 CLEANSER,ODO-KLEEN SOLN
VA PRODUCT IDENTIFIER XY308
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4014875
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE