CASTOR OIL 788MG/PERUVIAN BALSAM 87MG/TRYPSIN 0.12MG/GM GEL,TOP (18676) VA PRODUCT (50.68)

Name	Value
NAME	CASTOR OIL 788MG/PERUVIAN BALSAM 87MG/TRYPSIN 0.12MG/GM GEL,TOP
VA GENERIC NAME	CASTOR OIL/PERUVIAN BALSAM/TRYPSIN
DOSAGE FORM	GEL,TOP
ACTIVE INGREDIENTS	PERUVIAN BALSAM STRENGTH: 87 UNITS: MG TRYPSIN STRENGTH: 0.12 UNITS: MG CASTOR OIL STRENGTH: 788 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	CASTOR OIL/PERUVIAN BALSAM/TRYPSIN GEL,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 GEL
VA PRODUCT IDENTIFIER	C1292
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4026476
EFFECTIVE DATE/TIME	2007-08-30 00:00:00 STATUS: ACTIVE