CHLOROXYLENOL 3%/ISOPROPYL MYRISTA 72%/UNDECYLENIC ACID 25% SOLN (7355) VA PRODUCT (50.68)

Name	Value
NAME	CHLOROXYLENOL 3%/ISOPROPYL MYRISTA 72%/UNDECYLENIC ACID 25% SOLN
VA GENERIC NAME	CHLOROXYLENOL/ISOPROPYL MYRISTATE/UNDECYLENIC ACID
DOSAGE FORM	SOLN,TOP
ACTIVE INGREDIENTS	CHLOROXYLENOL STRENGTH: 3 UNITS: % UNDECYLENIC ACID STRENGTH: 25 UNITS: % ISOPROPYL MYRISTATE STRENGTH: 72 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	1
NATIONAL FORMULARY NAME	CHLOROXYLENOL/ISOPROPYL MYRISTATE/UNDECYLENIC 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	4007860
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE