| NAME |
PODOPHYLLIN 25% (CLINIC USE ONLY) LIQUID,TOP |
| VA GENERIC NAME |
PODOPHYLLIN |
| DOSAGE FORM |
LIQUID,TOP |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
25 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
% |
| NATIONAL FORMULARY NAME |
PODOPHYLLIN LIQUID,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
PODOPHYLLIN 25% (CLINIC USE ONLY)TOP LIQ |
| VA PRODUCT IDENTIFIER |
P0996 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4031277 |
| EFFECTIVE DATE/TIME |
-
- 2012-02-06 00:00:00
- STATUS: ACTIVE
|
