FACIAL CLEANSING BAR (10046) VA PRODUCT (50.68)

Name	Value
NAME	FACIAL CLEANSING BAR
VA GENERIC NAME	CLEANSING BAR
DOSAGE FORM	BAR,TOP
ACTIVE INGREDIENTS	ALCOHOL GLYCERIN CASTOR OIL COCAMIDE DEA COCONUT OIL LANOLIN ALCOHOL OLEIC ACID STEARIC ACID TEA-LAURYL SULFATE TRIETHANOLAMINE SODIUM HYDROXIDE
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	1
NATIONAL FORMULARY NAME	CLEANSING BAR BAR,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: 2017-06-30 00:00:00 COPAY TIER LEVEL: 0 COPAY EFFECTIVE DATE: 2017-07-01 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	FACIAL CLEANSING BAR
VA PRODUCT IDENTIFIER	F0630
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4010432
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE