
| Name | Value |
|---|---|
| NAME | LANTISEPTIC THERAPEUTIC CREAM,TOP |
| VA GENERIC NAME | LANTISEPTIC |
| DOSAGE FORM | CREAM,TOP |
| NATIONAL FORMULARY NAME | BARRIER CREAM,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| PGX ELIGIBLE | NO |
| PGX SUPPRESSED | NO |
| VA PRINT NAME | LANTISEPTIC THERAPEUTIC TOP CREAM |
| VA PRODUCT IDENTIFIER | L0397 |
| TRANSMIT TO CMOP | NO |
| VA DISPENSE UNIT | GM |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4026174 |
| EFFECTIVE DATE/TIME |
|