CHLORHEXIDINE GLUCONATE 3.15%/ISOPROPYL ALCOHOL 70% 1.6ML (31300) VA PRODUCT (50.68)

Name	Value
NAME	CHLORHEXIDINE GLUCONATE 3.15%/ISOPROPYL ALCOHOL 70% 1.6ML
VA GENERIC NAME	CHLORHEXIDINE GLUCONATE/ISPROPYL ALCOHOL
DOSAGE FORM	APPLICATOR
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ISOPROPYL ALCOHOL STRENGTH: 70 UNITS: % CHLORHEXIDINE GLUCONATE STRENGTH: 3.15 UNITS: %
NATIONAL FORMULARY NAME	CHLORHEXIDINE GLUCONATE/ISPROPYL ALCOHOL APPLICATOR
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2021-07-16 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	CHLORHEXIDINE 3.15%/ISOPRO ALC 70% 1.6ML
VA PRODUCT IDENTIFIER	C1999
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4040671
EFFECTIVE DATE/TIME	2021-07-19 00:00:00 STATUS: ACTIVE 2021-07-19 00:00:00 STATUS: ACTIVE 2021-07-19 00:00:00 STATUS: ACTIVE