PHENOL 1.4% LIQUID,ORAL TOP (9103)    VA PRODUCT (50.68)

Name Value
NAME PHENOL 1.4% LIQUID,ORAL TOP
VA GENERIC NAME PHENOL
DOSAGE FORM LIQUID,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
  • PHENOL
    STRENGTH:   1.4
    UNITS:   %
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1.4
INACTIVATION DATE 2003-02-14 00:00:00
UNITS %
DSS NUMBER 1
NATIONAL FORMULARY NAME PHENOL LIQUID
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 PHENOL 1.4% ORAL TOP LIQUID
VA PRODUCT IDENTIFIER P0393
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4009544
EFFECTIVE DATE/TIME
  • 2003-02-14 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE