SALICYLIC ACID 3%/SULFUR 5% BAR,TOP (15161)    VA PRODUCT (50.68)

Name Value
NAME SALICYLIC ACID 3%/SULFUR 5% BAR,TOP
VA GENERIC NAME SALICYLIC ACID/SULFUR
DOSAGE FORM BAR,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2009-05-20 00:00:00
NATIONAL FORMULARY NAME SALICYLIC ACID/SULFUR BAR,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 SALICYLIC ACID 3%/SULFUR 5% TOP BAR
VA PRODUCT IDENTIFIER S0374
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4015525
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-27 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2009-05-20 00:00:00
    STATUS:   INACTIVE