POVIDONE IODINE AEROSOL,TOP (7689)    VA PRODUCT (50.68)

Name Value
NAME POVIDONE IODINE AEROSOL,TOP
VA GENERIC NAME POVIDONE IODINE
DOSAGE FORM AEROSOL,TOP
FORMULARY DESIGNATOR TEXT 
Not supplied by pharmacy for inpatient use.
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2009-10-07 00:00:00
DSS NUMBER 20
NATIONAL FORMULARY NAME POVIDONE IODINE AEROSOL,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 4008184
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-10-07 00:00:00
    STATUS:   INACTIVE