PRAMOXINE HCL 1%/ZINC OXIDE 12.5% OINT,RTL (12859) VA PRODUCT (50.68)

Name	Value
NAME	PRAMOXINE HCL 1%/ZINC OXIDE 12.5% OINT,RTL
VA GENERIC NAME	PRAMOXINE/ZINC OXIDE
DOSAGE FORM	OINT,RTL
ACTIVE INGREDIENTS	PRAMOXINE STRENGTH: 1 UNITS: % ZINC OXIDE STRENGTH: 12.5 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	1
NATIONAL FORMULARY NAME	PRAMOXINE/ZINC OXIDE OINT,RTL
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	PRAMOXINE 1%/ZINC OXIDE 12.5% RTL OINT
VA PRODUCT IDENTIFIER	P0495
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4013224
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE