SODIUM HYPOCHLORITE 0.057% GEL,TOP (19522)    VA PRODUCT (50.68)

Name Value
NAME SODIUM HYPOCHLORITE 0.057% GEL,TOP
VA GENERIC NAME SODIUM HYPOCHLORITE
DOSAGE FORM GEL,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.057
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS %
NATIONAL FORMULARY NAME SODIUM HYPOCHLORITE GEL,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 SODIUM HYPOCHLORITE 0.057% GEL,TOP
VA PRODUCT IDENTIFIER S0580
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4027416
EFFECTIVE DATE/TIME
  • 2008-05-15 00:00:00
    STATUS:   ACTIVE
  • 2009-05-20 00:00:00
    STATUS:   INACTIVE
  • 2011-11-04 00:00:00
    STATUS:   ACTIVE