UNDECYLENIC ACID 10%/ISOPROPANOL 32.5% FOAM,TOP (8946) VA PRODUCT (50.68)

Name	Value
NAME	UNDECYLENIC ACID 10%/ISOPROPANOL 32.5% FOAM,TOP
VA GENERIC NAME	ALCOHOL,ISOPROPYL/UNDECYLENIC ACID
DOSAGE FORM	AEROSOL,TOP
ACTIVE INGREDIENTS	UNDECYLENIC ACID STRENGTH: 10 UNITS: % ALCOHOL,ISOPROPYL STRENGTH: 32.5 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-21 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ALCOHOL,ISOPROPYL/UNDECYLENIC ACID AEROSOL,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
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	UNDECYLENIC ACID 10% TOP FOAM
VA PRODUCT IDENTIFIER	U0019
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4009391
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-21 00:00:00 STATUS: INACTIVE