AQUANIL LOTION (10210)    VA PRODUCT (50.68)

Name Value
NAME AQUANIL LOTION
VA GENERIC NAME AQUANIL
DOSAGE FORM LOTION
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
DSS NUMBER 1
NATIONAL FORMULARY NAME AQUANIL 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 AQUANIL LOTION
VA PRODUCT IDENTIFIER A0892
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4010585
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE