HAND SANITIZER,ALCOHOL,ETHYL 60%+ GEL,TOP (30417)    VA PRODUCT (50.68)

Name Value
NAME HAND SANITIZER,ALCOHOL,ETHYL 60%+ GEL,TOP
VA GENERIC NAME ALCOHOL
DOSAGE FORM GEL,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 75
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS %
NATIONAL FORMULARY NAME ALCOHOL GEL,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:   2020-09-22 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME HAND SANITIZER,ALCOHOL,ETHYL 60%+ GEL
VA PRODUCT IDENTIFIER H0757
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4039722
EFFECTIVE DATE/TIME
  • 2020-09-24 00:00:00
    STATUS:   ACTIVE
  • 2020-09-24 00:00:00
    STATUS:   ACTIVE
  • 2020-09-24 00:00:00
    STATUS:   ACTIVE