| NAME |
SKIN PROTECTANT,CAVILON ADVANCED 3M#5050 |
| VA GENERIC NAME |
SKIN PROTECTIVE |
| DOSAGE FORM |
LIQUID,TOP |
| HAZARDOUS TO DISPOSE |
NO |
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
SKIN PROTECTIVE LIQUID,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2018-11-21 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
SKIN PROTECTANT,CAVILON ADVANCED 3M#5050 |
| VA PRODUCT IDENTIFIER |
S0860 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4038005 |
| EFFECTIVE DATE/TIME |
-
- 2018-11-26 00:00:00
- STATUS: ACTIVE
|
