CLEANSER,WOUND DELUO SPRAY,TOP (29327)    VA PRODUCT (50.68)

Name Value
NAME CLEANSER,WOUND DELUO SPRAY,TOP
VA GENERIC NAME CLEANSER,WOUND
DOSAGE FORM SPRAY,TOP
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR TEXT 
Not supplied by pharmacy for inpatient use.
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME CLEANSER,WOUND SPRAY,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2019-06-21 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CLEANSER,WOUND DELUO TOP SPRAY
VA PRODUCT IDENTIFIER XJ677
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4038481
EFFECTIVE DATE/TIME
  • 2019-06-21 00:00:00
    STATUS:   ACTIVE
  • 2019-06-21 00:00:00
    STATUS:   ACTIVE