BENZOIN COMPOUND 30%/ISOPROPYL ALCOHOL 44.8% SPRAY (9985) VA PRODUCT (50.68)

Name	Value
NAME	BENZOIN COMPOUND 30%/ISOPROPYL ALCOHOL 44.8% SPRAY
VA GENERIC NAME	BENZOIN COMPOUND/ISOPROPYL ALCOHOL
DOSAGE FORM	LIQUID,AEROSOL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ISOPROPYL ALCOHOL STRENGTH: 44.8 UNITS: % BENZOIN COMPOUND STRENGTH: 30 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	1
NATIONAL FORMULARY NAME	BENZOIN COMPOUND/ISOPROPYL ALCOHOL LIQUID,AEROSOL
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	BENZOIN COMPOUND 30%/ISOPROPANOL SPRAY
VA PRODUCT IDENTIFIER	B0360
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4010375
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE