MANDEL'S SOLN,TOP (6968) VA PRODUCT (50.68)

Name	Value
NAME	MANDEL'S SOLN,TOP
VA GENERIC NAME	IODINE/PHENOL/POTASSIUM IODIDE/TRICHLOROACETIC ACID
DOSAGE FORM	SOLN,TOP
ACTIVE INGREDIENTS	TRICHLOROACETIC ACID STRENGTH: 0.671 UNITS: % POTASSIUM IODIDE STRENGTH: 2.238 UNITS: % IODINE STRENGTH: 0.246 UNITS: % PHENOL,LIQUIFIED STRENGTH: 0.107 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	IODINE/PHENOL/POTASSIUM IODIDE/TRICHLOROACETIC ACID SOLN,TOP
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4007480
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE