ALLANTOIN 1.7%/COAL TAR 5% LOTION (10103)    VA PRODUCT (50.68)

Name Value
NAME ALLANTOIN 1.7%/COAL TAR 5% LOTION
VA GENERIC NAME ALLANTOIN/COAL TAR
DOSAGE FORM LOTION
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-28 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME ALLANTOIN/COAL TAR LOTION
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 4010486
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-28 00:00:00
    STATUS:   INACTIVE