SALICYLIC ACID 2%/ZN PYRITHIONE 1% SHAMPOO (11738) VA PRODUCT (50.68)

Name	Value
NAME	SALICYLIC ACID 2%/ZN PYRITHIONE 1% SHAMPOO
VA GENERIC NAME	SALICYLIC ACID/ZINC PYRITHIONE
DOSAGE FORM	SHAMPOO
ACTIVE INGREDIENTS	SALICYLIC ACID STRENGTH: 2 UNITS: % MENTHOL F D & C BLUE #1 ZINC PYRITHIONE STRENGTH: 1 UNITS: % POLYQUATERNIUM-7
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-10-01 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	SALICYLIC ACID/ZINC PYRITHIONE SHAMPOO
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	4012109
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-10-01 00:00:00 STATUS: INACTIVE