FUNGOID SOLN,TOP (7280) VA PRODUCT (50.68)

Name	Value
NAME	FUNGOID SOLN,TOP
VA GENERIC NAME	BENZALKONIUM/CETYLPYRIDINIUM/CHLOROXYLENOL/TRIACETIN
DOSAGE FORM	SOLN,TOP
ACTIVE INGREDIENTS	CHLOROXYLENOL STRENGTH: 1 UNITS: % CETYLPYRIDINIUM CHLORIDE STRENGTH: 0.2 UNITS: % TRIACETIN STRENGTH: 12 UNITS: % BENZALKONIUM CHLORIDE STRENGTH: 2 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-19 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BENZALKONIUM/CETYLPYRIDINIUM/CHLOROXYLENOL/TRIACETIN 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
VA PRINT NAME	FUNGOID TOP SOLN
VA PRODUCT IDENTIFIER	F0074
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4007788
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-19 00:00:00 STATUS: INACTIVE