DIFLORASONE DIACETATE 0.05%/EMOLLIENT CREAM,TOP (13027)    VA PRODUCT (50.68)

Name Value
NAME DIFLORASONE DIACETATE 0.05%/EMOLLIENT CREAM,TOP
VA GENERIC NAME DIFLORASONE
DOSAGE FORM CREAM,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.05
UNITS %
NATIONAL FORMULARY NAME DIFLORASONE CREAM,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 DIFLORASONE DIACETATE 0.05%/EMMOLIENT CR
VA PRODUCT IDENTIFIER D0429
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4013392
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-05-20 00:00:00
    STATUS:   INACTIVE