LACTIC ACID 2%/PHENOL 1%/SALICYLIC ACID 3% OINT (10124) VA PRODUCT (50.68)

Name	Value
NAME	LACTIC ACID 2%/PHENOL 1%/SALICYLIC ACID 3% OINT
VA GENERIC NAME	LACTIC ACID/PHENOL/SALICYLIC ACID
DOSAGE FORM	OINT,TOP
ACTIVE INGREDIENTS	SALICYLIC ACID STRENGTH: 3 UNITS: % LACTIC ACID STRENGTH: 2 UNITS: % PHENOL STRENGTH: 1 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	LACTIC ACID/PHENOL/SALICYLIC ACID OINT,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
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4010504
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE