ALCOHOL/BENZOIC ACID/EUCALYPTOL/ME SALICYLATE/THYMOL MOUTHWASH (9304)    VA PRODUCT (50.68)

Name Value
NAME ALCOHOL/BENZOIC ACID/EUCALYPTOL/ME SALICYLATE/THYMOL MOUTHWASH
VA GENERIC NAME ALCOHOL/BENZOIC ACID/EUCALYPTOL/METHYL SALICYLATE/THYMOL
DOSAGE FORM LIQUID,DENT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2009-09-17 00:00:00
DSS NUMBER 2
NATIONAL FORMULARY NAME ALCOHOL/BENZOIC ACID/EUCALYPTOL/METHYL SALICYLATE/THYMOL 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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4009730
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-09-17 00:00:00
    STATUS:   INACTIVE