CHLORHEXIDINE GLUCONATE 0.5%/ISOPROPYL ALCOHOL 70% PAD,TOP (9425)    VA PRODUCT (50.68)

Name Value
NAME CHLORHEXIDINE GLUCONATE 0.5%/ISOPROPYL ALCOHOL 70% PAD,TOP
VA GENERIC NAME CHLORHEXIDINE GLUCONATE/ISPROPYL ALCOHOL
DOSAGE FORM PAD,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.5
INACTIVATION DATE 2007-09-19 00:00:00
UNITS %WW
DSS NUMBER 1
NATIONAL FORMULARY NAME CHLORHEXIDINE GLUCONATE/ISPROPYL ALCOHOL PAD,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 CHLORHEXIDIN GLUC 0.5%/ISOPROPANOL TOWEL
VA PRODUCT IDENTIFIER C0383
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4009848
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE