CHLOROPHYLL 0.5%/PAPAIN/UREA 10% EMULSION SPRAY,TOP (18065) VA PRODUCT (50.68)

Name	Value
NAME	CHLOROPHYLL 0.5%/PAPAIN/UREA 10% EMULSION SPRAY,TOP
VA GENERIC NAME	CHLOROPHYLL/PAPAIN/UREA
DOSAGE FORM	SPRAY,TOP
ACTIVE INGREDIENTS	UREA STRENGTH: 10 UNITS: % PAPAIN STRENGTH: 405900 UNITS: UNIT CHLOROPHYLLIN COPPER COMPLEX STRENGTH: 0.5 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2011-03-02 00:00:00
NATIONAL FORMULARY NAME	CHLOROPHYLL/PAPAIN/UREA 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	CHLOROPHYLL/PAPAIN/UREA EMUL SPRAY TOP
VA PRODUCT IDENTIFIER	C1262
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4025796
EFFECTIVE DATE/TIME	2007-01-25 00:00:00 STATUS: ACTIVE 2011-03-02 00:00:00 STATUS: INACTIVE