
| Name | Value |
|---|---|
| NAME | CLEANSER,SENSI-CARE PERINEAL SOLN,TOP |
| VA GENERIC NAME | CLEANSER |
| DOSAGE FORM | SOLN,TOP |
| NATIONAL FORMULARY NAME | CLEANSER SOLN,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| PGX ELIGIBLE | NO |
| PGX SUPPRESSED | NO |
| VA PRINT NAME | CLEANSER,SENSI-CARE PERINEAL TOP SOLN |
| VA PRODUCT IDENTIFIER | XZ088 |
| TRANSMIT TO CMOP | NO |
| VA DISPENSE UNIT | ML |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4015342 |
| EFFECTIVE DATE/TIME |
|