ALOE VESTA 2-N-1 ANTIFUNGAL OINT,TOP (15933)    VA PRODUCT (50.68)

Name Value
NAME ALOE VESTA 2-N-1 ANTIFUNGAL OINT,TOP
VA GENERIC NAME MICONAZOLE
DOSAGE FORM OINT,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 2
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2013-08-16 00:00:00
UNITS %
NATIONAL FORMULARY NAME MICONAZOLE OINT,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 ALOE VESTA 2-N-1 ANTIFUNGAL TOP OINT
VA PRODUCT IDENTIFIER A1123
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4016296
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-08-19 00:00:00
    STATUS:   INACTIVE
  • 2009-09-09 00:00:00
    STATUS:   ACTIVE