ALCOHOL 43%/RESORCINOL 3% LOTION,TOP (11718) VA PRODUCT (50.68)

Name	Value
NAME	ALCOHOL 43%/RESORCINOL 3% LOTION,TOP
VA GENERIC NAME	ALCOHOL/RESORCINOL
DOSAGE FORM	LOTION
ACTIVE INGREDIENTS	ALCOHOL STRENGTH: 43 UNITS: % RESORCINOL STRENGTH: 3 UNITS: % STARCH SODIUM BORATE BENTONITE CALAMINE
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2011-06-02 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ALCOHOL/RESORCINOL 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	RESORCINOL 3%/ALCOHOL 43% LOTION
VA PRODUCT IDENTIFIER	A0550
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4012089
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2011-06-02 00:00:00 STATUS: INACTIVE