FLUOCINOLONE 0.01%/HYDROQUINONE 4%/TRETINOIN 0.05% CREAM,TOP (16214) VA PRODUCT (50.68)

Name	Value
NAME	FLUOCINOLONE 0.01%/HYDROQUINONE 4%/TRETINOIN 0.05% CREAM,TOP
VA GENERIC NAME	FLUOCINOLONE/HYDROQUINONE/TRETINOIN
DOSAGE FORM	CREAM,TOP
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	TRETINOIN STRENGTH: 0.05 UNITS: % HYDROQUINONE STRENGTH: 4 UNITS: % FLUOCINOLONE STRENGTH: 0.01 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	FLUOCINOLONE/HYDROQUINONE/TRETINOIN CREAM,TOP
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	FLUOCIN 0.01/H-QUIN 4/TRETIN 0.05 CREAM
VA PRODUCT IDENTIFIER	F0312
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4016577
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE