MASSENGILL DISPOSABLE DOUCHE BELLE-MAI,VAG (9964) VA PRODUCT (50.68)

Name	Value
NAME	MASSENGILL DISPOSABLE DOUCHE BELLE-MAI,VAG
VA GENERIC NAME	LACTIC ACID/OCTOXYNOL 9/SODIUM LACTATE
DOSAGE FORM	LIQUID,VAG
ACTIVE INGREDIENTS	PROPYLENE GLYCOL SODIUM LACTATE LACTIC ACID WATER CETYLPYRIDINIUM CHLORIDE DIAZOLIDINYL UREA FRAGRANCE SD ALCOHOL 40 OCTOXYNOL 9 METHYL PARABEN PROPYL PARABEN EDETATE DISODIUM
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	1
NATIONAL FORMULARY NAME	LACTIC ACID/OCTOXYNOL 9/SODIUM LACTATE 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	4010354
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE