POVIDONE IODINE 10% GAUZE PAD,TOP (7674)    VA PRODUCT (50.68)

Name Value
NAME POVIDONE IODINE 10% GAUZE PAD,TOP
VA GENERIC NAME POVIDONE IODINE
DOSAGE FORM PAD
FORMULARY DESIGNATOR TEXT 
Not supplied by pharmacy for inpatient use.
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 10
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2000-04-28 00:00:00
UNITS %
DSS NUMBER 4
NATIONAL FORMULARY NAME POVIDONE IODINE PAD
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
VA PRINT NAME POVIDONE IODINE 10% PREP PAD
VA PRODUCT IDENTIFIER P0092
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4008170
EFFECTIVE DATE/TIME
  • 2000-04-28 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE