POVIDONE IODINE 0.75% SPONGE (7672)    VA PRODUCT (50.68)

Name Value
NAME POVIDONE IODINE 0.75% SPONGE
VA GENERIC NAME POVIDONE IODINE
DOSAGE FORM SPONGE
FORMULARY DESIGNATOR TEXT 
Not supplied by pharmacy for inpatient use.
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.75
INACTIVATION DATE 2007-10-01 00:00:00
UNITS %
DSS NUMBER 2
NATIONAL FORMULARY NAME POVIDONE IODINE SPONGE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    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 4008168
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-10-01 00:00:00
    STATUS:   INACTIVE