CHLORHEXIDINE GLUCONATE 0.12% RINSE,ORAL (8193)    VA PRODUCT (50.68)

Name Value
NAME CHLORHEXIDINE GLUCONATE 0.12% RINSE,ORAL
VA GENERIC NAME CHLORHEXIDINE GLUCONATE
DOSAGE FORM MOUTHWASH
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.12
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2004-03-22 00:00:00
UNITS %
DSS NUMBER 7
NATIONAL FORMULARY NAME CHLORHEXIDINE GLUCONATE MOUTHWASH
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
VA PRINT NAME CHLORHEXIDINE GLUCONATE 0.12% MOUTHWASH
VA PRODUCT IDENTIFIER C0206
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID NO
VUID 4008667
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2005-12-08 00:00:00
    STATUS:   ACTIVE
  • 2004-03-22 00:00:00
    STATUS:   INACTIVE