| NAME |
PERISCENT PERINEAL SKIN CLEANSER SOLN,TOP |
| VA GENERIC NAME |
CLEANSER |
| DOSAGE FORM |
SOLN,TOP |
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| NATIONAL FORMULARY NAME |
CLEANSER SOLN,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
PERISCENT PERINEAL CLEANSER TOP SOLN |
| VA PRODUCT IDENTIFIER |
XH361 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4032614 |
| EFFECTIVE DATE/TIME |
-
- 2013-08-16 00:00:00
- STATUS: ACTIVE
|
