POVIDONE IODINE 10% SPONGE BRUSH (7692)    VA PRODUCT (50.68)

Name Value
NAME POVIDONE IODINE 10% SPONGE BRUSH
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 10
INACTIVATION DATE 2009-10-07 00:00:00
UNITS %
DSS NUMBER 23
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
VA PRINT NAME POVIDONE IODINE 10% SPONGE BRUSH
VA PRODUCT IDENTIFIER XT216
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4008187
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-10-07 00:00:00
    STATUS:   INACTIVE