CETYLPYRIDINIUM CL 0.06% (AF & SF) MOUTHWASH (25075) VA PRODUCT (50.68)

Name	Value
NAME	CETYLPYRIDINIUM CL 0.06% (AF & SF) MOUTHWASH
VA GENERIC NAME	CETYLPYRIDINIUM CHLORIDE
DOSAGE FORM	MOUTHWASH
ACTIVE INGREDIENTS	CETYLPYRIDINIUM STRENGTH: 0.06 UNITS: %
NATIONAL FORMULARY NAME	CETYLPYRIDINIUM CHLORIDE MOUTHWASH
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	CETYLPYRIDINIUM 0.06% (AF&SF) MOUTHWASH
VA PRODUCT IDENTIFIER	C1672
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4033738
EFFECTIVE DATE/TIME	2014-10-03 00:00:00 STATUS: ACTIVE