POVIDONE IODINE APPLICATOR F#280-9941,3S (7693)    VA PRODUCT (50.68)

Name Value
NAME POVIDONE IODINE APPLICATOR F#280-9941,3S
VA GENERIC NAME POVIDONE IODINE
DOSAGE FORM APPLICATOR
FORMULARY DESIGNATOR TEXT 
Not supplied by pharmacy for inpatient use.
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-25 00:00:00
DSS NUMBER 24
NATIONAL FORMULARY NAME POVIDONE IODINE APPLICATOR
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 APPLICATOR F#280-9941
VA PRODUCT IDENTIFIER XS634
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4008188
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-25 00:00:00
    STATUS:   INACTIVE