PHEXXI GEL,VAG W/APPLICATOR (30586) VA PRODUCT (50.68)

Name	Value
NAME	PHEXXI GEL,VAG W/APPLICATOR
VA GENERIC NAME	CITRIC ACID/LACTIC ACID/POTASSIUM BITARTRATE
DOSAGE FORM	GEL,VAG
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	LACTIC ACID STRENGTH: 1.8 UNITS: % POTASSIUM BITARTRATE STRENGTH: 0.4 UNITS: % CITRIC ACID STRENGTH: 1 UNITS: %
NATIONAL FORMULARY NAME	CITRIC ACID/LACTIC ACID/POTASSIUM BITARTRATE GEL,VAG
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: 2020-12-09 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	PHEXXI VAG GEL W/APPLICATOR
VA PRODUCT IDENTIFIER	P1282
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4039892
EFFECTIVE DATE/TIME	2020-12-09 00:00:00 STATUS: ACTIVE 2020-12-09 00:00:00 STATUS: ACTIVE 2020-12-09 00:00:00 STATUS: ACTIVE