CHLORHEXIDINE GLUCONATE 4% FOAM,TOP (30569) VA PRODUCT (50.68)

Name	Value
NAME	CHLORHEXIDINE GLUCONATE 4% FOAM,TOP
VA GENERIC NAME	CHLORHEXIDINE GLUCONATE
DOSAGE FORM	FOAM,TOP
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ALCOHOL,ISOPROPYL STRENGTH: 4 UNITS: % CHLORHEXIDINE GLUCONATE STRENGTH: 4 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	4
SINGLE/MULTI SOURCE PRODUCT	Multisource
UNITS	%
NATIONAL FORMULARY NAME	CHLORHEXIDINE GLUCONATE FOAM,TOP
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2020-11-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	CHLORHEXIDINE GLUCONATE 4% TOP FOAM
VA PRODUCT IDENTIFIER	C1969
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4039872
EFFECTIVE DATE/TIME	2020-11-27 00:00:00 STATUS: ACTIVE 2020-11-27 00:00:00 STATUS: ACTIVE 2020-11-27 00:00:00 STATUS: ACTIVE