
| Name | Value |
|---|---|
| NAME | IODINE 48% INJ |
| VA GENERIC NAME | IODINE |
| DOSAGE FORM | INJ |
| ACTIVE INGREDIENTS | |
| STRENGTH | 48 |
| UNITS | % |
| NATIONAL FORMULARY NAME | IODINE INJ |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| PGX ELIGIBLE | NO |
| PGX SUPPRESSED | NO |
| VA PRINT NAME | IODINE 48% INJ |
| VA PRODUCT IDENTIFIER | I0530 |
| TRANSMIT TO CMOP | NO |
| VA DISPENSE UNIT | AMP |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4031420 |
| EFFECTIVE DATE/TIME |
|