CHLORHEXIDINE GLUCONATE 2%/ISOPROPYL ALCOHOL 70% 1.75ML (25891) VA PRODUCT (50.68)

Name	Value
NAME	CHLORHEXIDINE GLUCONATE 2%/ISOPROPYL ALCOHOL 70% 1.75ML
VA GENERIC NAME	CHLORHEXIDINE GLUCONATE/ISPROPYL ALCOHOL
DOSAGE FORM	APPLICATOR
ACTIVE INGREDIENTS	ISOPROPYL ALCOHOL STRENGTH: 70 UNITS: % CHLORHEXIDINE GLUCONATE STRENGTH: 2 UNITS: %
NATIONAL FORMULARY NAME	CHLORHEXIDINE GLUCONATE/ISPROPYL ALCOHOL APPLICATOR
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	CHLORHEXIDINE 2%/ISOP ALCOHOL 70% 1.75ML
VA PRODUCT IDENTIFIER	C1725
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4034658
EFFECTIVE DATE/TIME	2015-07-28 00:00:00 STATUS: ACTIVE