NONOXYNOL-9 4% GEL,VAG,APPLICATOR,2.7GM (20325)    VA PRODUCT (50.68)

Name Value
NAME NONOXYNOL-9 4% GEL,VAG,APPLICATOR,2.7GM
VA GENERIC NAME NONOXYNOL
DOSAGE FORM GEL,VAG
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 4
UNITS %
NATIONAL FORMULARY NAME NONOXYNOL GEL,VAG
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 NONOXYNOL-9 4% VAG GEL APPLICATOR 2.7GM
VA PRODUCT IDENTIFIER N0586
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4028309
EFFECTIVE DATE/TIME
  • 2009-02-06 00:00:00
    STATUS:   ACTIVE
  • 2010-11-03 00:00:00
    STATUS:   INACTIVE
  • 2010-12-03 00:00:00
    STATUS:   ACTIVE