MENTHOL 1.4% PATCH (17524)    VA PRODUCT (50.68)

Name Value
NAME MENTHOL 1.4% PATCH
VA GENERIC NAME MENTHOL
DOSAGE FORM PATCH
ACTIVE INGREDIENTS
  • MENTHOL
    STRENGTH:   1.4
    UNITS:   %
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1.4
INACTIVATION DATE 2011-05-04 00:00:00
UNITS %
NATIONAL FORMULARY NAME MENTHOL PATCH
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 MENTHOL 1.4% PATCH
VA PRODUCT IDENTIFIER M0666
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PATCH
MASTER ENTRY FOR VUID YES
VUID 4025025
EFFECTIVE DATE/TIME
  • 2006-03-28 00:00:00
    STATUS:   ACTIVE
  • 2011-05-04 00:00:00
    STATUS:   INACTIVE
  • 2011-05-04 00:00:00
    STATUS:   INACTIVE