| NAME |
PAPAIN 650000 UNIT/UREA 10% EMULSION SPRAY,TOP |
| VA GENERIC NAME |
PAPAIN/UREA |
| DOSAGE FORM |
SPRAY,TOP |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2008-07-07 00:00:00 |
| NATIONAL FORMULARY NAME |
PAPAIN/UREA SPRAY,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
PAPAIN 650K/UREA 10% EMULSION TOP SPRAY |
| VA PRODUCT IDENTIFIER |
P0783 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4025795 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-25 00:00:00
- STATUS: ACTIVE
-
- 2008-07-07 00:00:00
- STATUS: INACTIVE
|