CLINDAMYCIN PHOSPHATE 1.2%/TRETINOIN 0.025% GEL,TOP (18692)    VA PRODUCT (50.68)

Name Value
NAME CLINDAMYCIN PHOSPHATE 1.2%/TRETINOIN 0.025% GEL,TOP
VA GENERIC NAME CLINDAMYCIN PHOSPHATE/TRETINOIN
DOSAGE FORM GEL,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME CLINDAMYCIN PHOSPHATE/TRETINOIN 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 CLINDAMYCIN 1.2/TRETINOIN 0.025% TOP GEL
VA PRODUCT IDENTIFIER XV580
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4026509
EFFECTIVE DATE/TIME
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE