CLEANSING CLOTH,COMFORT SHIELD (23539) VA PRODUCT (50.68)

Name	Value
NAME	CLEANSING CLOTH,COMFORT SHIELD
VA GENERIC NAME	CLEANSING CLOTH
DOSAGE FORM	MISCELLANEOUS
ACTIVE INGREDIENTS	DIMETHICONE STRENGTH: 3 UNITS: %
NATIONAL FORMULARY NAME	CLEANSING CLOTH MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	CLEANSING CLOTH,COMFORT SHIELD
VA PRODUCT IDENTIFIER	XH154
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	YES
VUID	4032005
EFFECTIVE DATE/TIME	2013-01-25 00:00:00 STATUS: ACTIVE