DIMETHYL ETHER,PROPANE PLANTAR WART REMOVAL KIT (16876)    VA PRODUCT (50.68)

Name Value
NAME DIMETHYL ETHER,PROPANE PLANTAR WART REMOVAL KIT
VA GENERIC NAME DIMETHYL ETHER/PROPANE
DOSAGE FORM AEROSOL,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-19 00:00:00
NATIONAL FORMULARY NAME DIMETHYL ETHER/PROPANE AEROSOL,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 DIMETHYL ETHER,PROPANE PLANTAR WART KIT
VA PRODUCT IDENTIFIER D0647
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4017239
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE