FUNGOID TINCTURE,TOP (7275) VA PRODUCT (50.68)

Name	Value
NAME	FUNGOID TINCTURE,TOP
VA GENERIC NAME	BENZALKONIUM/CETYLPYRIDINIUM/CHLOROXYLENOL/SODIUM/TRIACETIN
DOSAGE FORM	TINCTURE,TOP
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	CHLOROXYLENOL STRENGTH: 0.5 UNITS: % SODIUM PROPIONATE STRENGTH: 15 UNITS: % CETYLPYRIDINIUM CHLORIDE STRENGTH: 1 UNITS: % TRIACETIN STRENGTH: 12 UNITS: % BENZALKONIUM CHLORIDE STRENGTH: 2 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2020-07-15 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BENZALKONIUM/CETYLPYRIDINIUM/CHLOROXYLENOL/SODIUM/TRIACETIN TINCTURE,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
VA PRINT NAME	FUNGOID TOP TINCTURE
VA PRODUCT IDENTIFIER	F0075
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4007783
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2020-07-15 00:00:00 STATUS: INACTIVE