| NAME |
PHENOL W/APPLICATOR KIT |
| VA GENERIC NAME |
PHENOL APPLICATOR |
| DOSAGE FORM |
KIT |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| NATIONAL FORMULARY NAME |
PHENOL APPLICATOR KIT |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
PHENOL W/APPLICATOR KIT |
| VA PRODUCT IDENTIFIER |
XV996 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4027231 |
| EFFECTIVE DATE/TIME |
-
- 2008-03-07 00:00:00
- STATUS: ACTIVE
-
- 2008-09-02 00:00:00
- STATUS: INACTIVE
-
- 2010-01-12 00:00:00
- STATUS: ACTIVE
|
