CETPHIL GENTLE SKIN CLEANSER (14120)    VA PRODUCT (50.68)

Name Value
NAME CETPHIL GENTLE SKIN CLEANSER
VA GENERIC NAME CETAPHIL CLEANSER
DOSAGE FORM LOTION,TOP
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2000-03-13 00:00:00
NATIONAL FORMULARY NAME CETAPHIL CLEANSER LOTION,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
    COPAY END DATE:   2017-06-30 00:00:00
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-07-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CETPHIL GENTLE SKIN CLEANSER
VA PRODUCT IDENTIFIER C0954
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4014484
EFFECTIVE DATE/TIME
  • 2000-03-13 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE