EUCALYPTUS/MENTHOL/METHYL SALICYLATE/TRIETHANOLAMINE GEL,TOP (11771) VA PRODUCT (50.68)

Name	Value
NAME	EUCALYPTUS/MENTHOL/METHYL SALICYLATE/TRIETHANOLAMINE GEL,TOP
VA GENERIC NAME	EUCALYPTUS/MENTHOL/METHYL SALICYLATE/TRIETHANOLAMINE
DOSAGE FORM	GEL,TOP
ACTIVE INGREDIENTS	PROPYLENE GLYCOL MENTHOL STRENGTH: 7 UNITS: % ALCOHOL POLYSORBATE 60 EUCALYPTUS OIL CARBOMER 940 GLYCERIN METHYL SALICYLATE POTASSIUM IODIDE IODINE ALOE VERA DIAZOLIDINYL UREA PARABENS TRIETHANOLAMINE SALICYLATE BORIC ACID
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	EUCALYPTUS/MENTHOL/METHYL SALICYLATE/TRIETHANOLAMINE GEL,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
VA PRINT NAME	ANALGESIC TOP GEL
VA PRODUCT IDENTIFIER	A0515
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4012137
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE