| NAME |
DIFLORASONE DIACETATE 0.05%/EMOLLIENT OINT,TOP |
| VA GENERIC NAME |
DIFLORASONE |
| DOSAGE FORM |
OINT,TOP |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
0.05 |
| INACTIVATION DATE |
2010-02-18 00:00:00 |
| UNITS |
% |
| NATIONAL FORMULARY NAME |
DIFLORASONE OINT,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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%/EMOLLENT ONT |
| VA PRODUCT IDENTIFIER |
D0430 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
GM |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4013393 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2010-02-18 00:00:00
- STATUS: INACTIVE
|
