CARA-KLENZ,SKIN & WOUND CLEANSER (9981)    VA PRODUCT (50.68)

Name Value
NAME CARA-KLENZ,SKIN & WOUND CLEANSER
VA GENERIC NAME CARA-KLENZ
DOSAGE FORM LIQUID,TOP
FORMULARY DESIGNATOR TEXT 
Not supplied by pharmacy for inpatient use.
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-10-29 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME CARRINGTON SPRAY,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
    COPAY END DATE:   2017-05-31 00:00:00
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-06-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CARA-KLENZ SKIN & WOUND CLEANSER
VA PRODUCT IDENTIFIER C0606
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4010371
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-10-29 00:00:00
    STATUS:   INACTIVE
  • 2007-10-29 00:00:00
    STATUS:   INACTIVE