HYPOCHLOROUS ACID 0.02% SOLN,TOP (28589)    VA PRODUCT (50.68)

Name Value
NAME HYPOCHLOROUS ACID 0.02% SOLN,TOP
VA GENERIC NAME HYPOCHLOROUS ACID
DOSAGE FORM SOLN,TOP
ACTIVE INGREDIENTS
STRENGTH 0.02
UNITS %
NATIONAL FORMULARY NAME HYPOCHLOROUS ACID SOLN,TOP
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2018-06-18 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME HYPOCHLOROUS ACID 0.02% TOP SOLN
VA PRODUCT IDENTIFIER H0733
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4037617
EFFECTIVE DATE/TIME
  • 2018-06-18 00:00:00
    STATUS:   ACTIVE