HYDROGEN PEROXIDE 40% SOLN,TOP (28556)    VA PRODUCT (50.68)

Name Value
NAME HYDROGEN PEROXIDE 40% SOLN,TOP
VA GENERIC NAME HYDROGEN PEROXIDE
DOSAGE FORM SOLN,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 40
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2021-09-15 00:00:00
UNITS %
NATIONAL FORMULARY NAME HYDROGEN PEROXIDE SOLN,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2018-06-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME HYDROGEN PEROXIDE 40% TOP SOLN
VA PRODUCT IDENTIFIER H0732
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4037574
EFFECTIVE DATE/TIME
  • 2018-05-31 00:00:00
    STATUS:   ACTIVE
  • 2018-05-31 00:00:00
    STATUS:   ACTIVE
  • 2021-09-15 00:00:00
    STATUS:   INACTIVE
  • 2021-09-15 00:00:00
    STATUS:   INACTIVE
  • 2021-09-15 00:00:00
    STATUS:   INACTIVE