BENZYL ALCOHOL 10% GEL,TOP (31206)    VA PRODUCT (50.68)

Name Value
NAME BENZYL ALCOHOL 10% GEL,TOP
VA GENERIC NAME BENZYL ALCOHOL
DOSAGE FORM GEL,ORAL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 10
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS %
NATIONAL FORMULARY NAME BENZYL ALCOHOL GEL,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2021-06-15 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BENZYL ALCOHOL 10% TOP GEL
VA PRODUCT IDENTIFIER B0918
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4040570
EFFECTIVE DATE/TIME
  • 2021-06-16 00:00:00
    STATUS:   ACTIVE
  • 2021-06-16 00:00:00
    STATUS:   ACTIVE
  • 2021-06-16 00:00:00
    STATUS:   ACTIVE