HYPOCHLOROUS ACID 0.012% SOLN,TOP (28477)    VA PRODUCT (50.68)

Name Value
NAME HYPOCHLOROUS ACID 0.012% SOLN,TOP
VA GENERIC NAME HYPOCHLOROUS ACID
DOSAGE FORM SOLN,TOP
ACTIVE INGREDIENTS
STRENGTH 0.012
UNITS %
NATIONAL FORMULARY NAME HYPOCHLOROUS ACID SOLN,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-06-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME HYPOCHLOROUS ACID 0.012% TOP SOLN
VA PRODUCT IDENTIFIER XJ300
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4037493
EFFECTIVE DATE/TIME
  • 2018-04-30 00:00:00
    STATUS:   ACTIVE