POVIDONE IODINE APPLICATOR F#170-1177 (7694)    VA PRODUCT (50.68)

Name Value
NAME POVIDONE IODINE APPLICATOR F#170-1177
VA GENERIC NAME POVIDONE IODINE
DOSAGE FORM APPLICATOR
FORMULARY DESIGNATOR TEXT 
Not supplied by pharmacy for inpatient use.
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 25
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#170-1177
VA PRODUCT IDENTIFIER XS635
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4008189
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-27 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE