ABSORBINE ARTHRITIC PAIN LOTION (10204) VA PRODUCT (50.68)

Name	Value
NAME	ABSORBINE ARTHRITIC PAIN LOTION
VA GENERIC NAME	CAMPHOR/MENTHOL/METHYL NICOTINATE/METHYL SALICYLATE
DOSAGE FORM	LOTION
ACTIVE INGREDIENTS	CAMPHOR STRENGTH: 3.25 UNITS: % MENTHOL STRENGTH: 1.25 UNITS: % POLYSORBATE 60 CETYL ALCOHOL STRENGTH: 1 UNITS: % METHYL SALICYLATE STRENGTH: 10 UNITS: % METHYL NICOTINATE STRENGTH: 1 UNITS: % PARABENS SORBITAN MONOOLEATE
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2009-09-17 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CAMPHOR/MENTHOL/METHYL NICOTINATE/METHYL SALICYLATE 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
VA PRINT NAME	ANALGESIC LOTION
VA PRODUCT IDENTIFIER	C0069
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4010579
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2009-09-17 00:00:00 STATUS: INACTIVE