ALUMINUM CL HEXAHYDRATE 6.25%/ALCOHOL SOLN,TOP (30662)    VA PRODUCT (50.68)

Name Value
NAME ALUMINUM CL HEXAHYDRATE 6.25%/ALCOHOL SOLN,TOP
VA GENERIC NAME ALUMINUM CHLORIDE
DOSAGE FORM SOLN,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 6.25
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS %
NATIONAL FORMULARY NAME ALUMINUM CHLORIDE SOLN,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2021-01-26 00:00:00
    COPAY END DATE:   2021-02-03 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2021-02-04 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ALUMINUM CL HEXAHYDRATE 6.25% TOP SOLN
VA PRODUCT IDENTIFIER A2072
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4039978
EFFECTIVE DATE/TIME
  • 2021-01-26 00:00:00
    STATUS:   ACTIVE
  • 2021-01-26 00:00:00
    STATUS:   ACTIVE
  • 2021-01-26 00:00:00
    STATUS:   ACTIVE