ALOE 1%/HC 2%/IODOQUINOL 1% GEL,TOP,2GM (17472) VA PRODUCT (50.68)

Name	Value
NAME	ALOE 1%/HC 2%/IODOQUINOL 1% GEL,TOP,2GM
VA GENERIC NAME	ALOE/HYDROCORTISONE/IODOQUINOL
DOSAGE FORM	GEL,TOP
ACTIVE INGREDIENTS	IODOQUINOL STRENGTH: 1 UNITS: % ALOE STRENGTH: 1 UNITS: % HYDROCORTISONE STRENGTH: 2 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	ALOE/HYDROCORTISONE/IODOQUINOL GEL,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	ALOE 1%/HC 2%/IODOQUINOL 1% 2GM TOP GEL
VA PRODUCT IDENTIFIER	A1962
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	YES
VUID	4024973
EFFECTIVE DATE/TIME	2006-03-28 00:00:00 STATUS: ACTIVE