CASTOR OIL 788MG/PERUVIAN BALSAM 87MG/TRYPSIN 90UNIT/GM OINT,TOP (17165) VA PRODUCT (50.68)

Name	Value
NAME	CASTOR OIL 788MG/PERUVIAN BALSAM 87MG/TRYPSIN 90UNIT/GM OINT,TOP
VA GENERIC NAME	CASTOR OIL/PERUVIAN BALSAM/TRYPSIN
DOSAGE FORM	OINT,TOP
ACTIVE INGREDIENTS	PERUVIAN BALSAM STRENGTH: 87 UNITS: MG/GM TRYPSIN STRENGTH: 90 UNITS: UNIT CASTOR OIL STRENGTH: 788 UNITS: MG/GM
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	CASTOR OIL/PERUVIAN BALSAM/TRYPSIN 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	CASTOR OIL/PERUVIAN BALSAM/TRYPSIN OINT
VA PRODUCT IDENTIFIER	C1198
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4024597
EFFECTIVE DATE/TIME	2006-01-24 00:00:00 STATUS: ACTIVE