FLUOCINOLONE ACETONIDE 0.01% SHAMPOO,TOP (13111) VA PRODUCT (50.68)

Name	Value
NAME	FLUOCINOLONE ACETONIDE 0.01% SHAMPOO,TOP
VA GENERIC NAME	FLUOCINOLONE
DOSAGE FORM	SHAMPOO
ACTIVE INGREDIENTS	FLUOCINOLONE ACETONIDE STRENGTH: 0.01 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	0.01
SINGLE/MULTI SOURCE PRODUCT	Single source
UNITS	%
NATIONAL FORMULARY NAME	FLUOCINOLONE SHAMPOO
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	FLUOCINOLONE ACETONIDE 0.01% SHAMPOO
VA PRODUCT IDENTIFIER	F0191
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4013476
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE