PHENOL (DILUTE) 1.4% (AF) MOUTHWASH (16153)    VA PRODUCT (50.68)

Name Value
NAME PHENOL (DILUTE) 1.4% (AF) MOUTHWASH
VA GENERIC NAME PHENOL
DOSAGE FORM MOUTHWASH
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
  • PHENOL
    STRENGTH:   1.4
    UNITS:   %
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1.4
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS %
NATIONAL FORMULARY NAME PHENOL MOUTHWASH
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 (DILUTE) 1.4% (AF) MOUTHWASH
VA PRODUCT IDENTIFIER P0657
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4016516
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE