BENZETHONIUM CL 0.1% SPRAY,TOP (17035)    VA PRODUCT (50.68)

Name Value
NAME BENZETHONIUM CL 0.1% SPRAY,TOP
VA GENERIC NAME BENZETHONIUM CHLORIDE
DOSAGE FORM SPRAY,TOP
FORMULARY DESIGNATOR TEXT 
Not supplied by pharmacy for inpatient use.
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.1
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS %
NATIONAL FORMULARY NAME BENZETHONIUM CHLORIDE 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 BENZETHONIUM CL 0.1% TOP SPRAY
VA PRODUCT IDENTIFIER B0528
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4017398
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE