POVIDONE IODINE 7.5% SKIN CLEANSER LIQUID,TOP (7700)    VA PRODUCT (50.68)

Name Value
NAME POVIDONE IODINE 7.5% SKIN CLEANSER LIQUID,TOP
VA GENERIC NAME POVIDONE IODINE
DOSAGE FORM LIQUID,TOP
FORMULARY DESIGNATOR TEXT 
Not supplied by pharmacy for inpatient use.
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 7.5
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2018-01-17 00:00:00
UNITS %
DSS NUMBER 31
NATIONAL FORMULARY NAME POVIDONE IODINE LIQUID,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
    COPAY END DATE:   2017-06-30 00:00:00
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-07-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME POVIDONE IODINE 7.5% SKIN CLEANSER LIQ
VA PRODUCT IDENTIFIER P0399
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4008195
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
  • 2018-01-17 00:00:00
    STATUS:   INACTIVE