POVIDONE IODINE 5% SOLN,TOP (7682)    VA PRODUCT (50.68)

Name Value
NAME POVIDONE IODINE 5% SOLN,TOP
VA GENERIC NAME POVIDONE IODINE
DOSAGE FORM SOLN,TOP
FORMULARY DESIGNATOR TEXT
Not supplied by pharmacy for inpatient use.
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 5
INACTIVATION DATE 2007-09-25 00:00:00
UNITS %
DSS NUMBER 12
NATIONAL FORMULARY NAME POVIDONE IODINE 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 4008178
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-25 00:00:00
    STATUS:   INACTIVE