CHLORHEXIDINE GLUCONATE 4% LIQUID SPONGE BRUSH (9427) VA PRODUCT (50.68)

Name	Value
NAME	CHLORHEXIDINE GLUCONATE 4% LIQUID SPONGE BRUSH
VA GENERIC NAME	CHLORHEXIDINE GLUCONATE/ISPROPYL ALCOHOL
DOSAGE FORM	SPONGE
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ALCOHOL,ISOPROPYL STRENGTH: 4 UNITS: % CHLORHEXIDINE GLUCONATE STRENGTH: 4 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	4
INACTIVATION DATE	2009-10-09 00:00:00
UNITS	%
DSS NUMBER	3
NATIONAL FORMULARY NAME	CHLORHEXIDINE GLUCONATE/ISPROPYL ALCOHOL SPONGE
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 4% SPONGE/BRUSH
VA PRODUCT IDENTIFIER	C0661
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4009849
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2009-10-09 00:00:00 STATUS: INACTIVE