| NAME |
BENZETHONIUM CL/TRICLOSAN LOTION,TOP,3ML |
| VA GENERIC NAME |
BENZETHONIUM/TRICLOSAN |
| DOSAGE FORM |
LOTION,TOP |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2009-09-17 00:00:00 |
| NATIONAL FORMULARY NAME |
BENZETHONIUM/TRICLOSAN LOTION,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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/TRICLOSAN TOP LOTION 3ML |
| VA PRODUCT IDENTIFIER |
B0592 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4026693 |
| EFFECTIVE DATE/TIME |
-
- 2007-11-14 00:00:00
- STATUS: ACTIVE
-
- 2009-09-17 00:00:00
- STATUS: INACTIVE
|
