FORMALDEHYDE 1%/ISOPROPYL ALCOHOL 87%/NA NITRITE 1% SOLN (9598) VA PRODUCT (50.68)

Name	Value
NAME	FORMALDEHYDE 1%/ISOPROPYL ALCOHOL 87%/NA NITRITE 1% SOLN
VA GENERIC NAME	FORMALDEHYDE/ISOPROPYL ALCOHOL/SODIUM NITRITE
DOSAGE FORM	SOLN
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ISOPROPYL ALCOHOL STRENGTH: 87 UNITS: % SODIUM NITRITE STRENGTH: 1 UNITS: % FORMALDEHYDE STRENGTH: 1 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-05-24 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	FORMALDEHYDE/ISOPROPYL ALCOHOL/SODIUM NITRITE SOLN
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	4010013
EFFECTIVE DATE/TIME	2002-05-24 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE