KETOCONAZOLE 2% GEL/ZINC PYRITHIONE 1% SHAMPOO KIT (18858) VA PRODUCT (50.68)

Name	Value
NAME	KETOCONAZOLE 2% GEL/ZINC PYRITHIONE 1% SHAMPOO KIT
VA GENERIC NAME	KETOCONAZOLE/ZINC PYRITHIONE
DOSAGE FORM	KIT
ACTIVE INGREDIENTS	KETOCONAZOLE STRENGTH: 2 UNITS: % ZINC PYRITHIONE STRENGTH: 1 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-10-06 00:00:00
NATIONAL FORMULARY NAME	KETOCONAZOLE/ZINC PYRITHIONE KIT
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	KETOCONAZ 2% GEL/ZINC PY 1% SHAMPOO KIT
VA PRODUCT IDENTIFIER	K0051
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	KIT
MASTER ENTRY FOR VUID	YES
VUID	4026685
EFFECTIVE DATE/TIME	2007-11-14 00:00:00 STATUS: ACTIVE 2010-10-06 00:00:00 STATUS: INACTIVE