
| Name | Value |
|---|---|
| NAME | SKIN GEL H#7916 |
| VA GENERIC NAME | SKIN GEL |
| DOSAGE FORM | GEL,TOP |
| CS FEDERAL SCHEDULE | Unscheduled |
| DSS NUMBER | 1 |
| NATIONAL FORMULARY NAME | SKIN GEL GEL,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| PGX ELIGIBLE | NO |
| PGX SUPPRESSED | NO |
| VA PRINT NAME | SKIN GEL H#7916 |
| VA PRODUCT IDENTIFIER | S0177 |
| TRANSMIT TO CMOP | NO |
| VA DISPENSE UNIT | GM |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4012594 |
| EFFECTIVE DATE/TIME |
|