| NAME |
BETAMETHASONE DIPROPIONATE 0.05%/CLOTRIMAZOLE 1% LOTION,TOP |
| VA GENERIC NAME |
BETAMETHASONE/CLOTRIMAZOLE |
| DOSAGE FORM |
LOTION,TOP |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| NATIONAL FORMULARY NAME |
BETAMETHASONE/CLOTRIMAZOLE LOTION,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 |
BETAMETHASONE DIP 0.05/CLOTRIM 1% LOTION |
| VA PRODUCT IDENTIFIER |
B0537 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4015443 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
|
