| NAME |
BENZOYL PEROXIDE 5%/CLINDAMYCIN 1% GEL,KIT |
| VA GENERIC NAME |
BENZOYL PEROXIDE/CLINDAMYCIN |
| DOSAGE FORM |
KIT |
| HAZARDOUS TO DISPOSE |
NO |
| DOT SHIPPING CODE |
|
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2019-03-18 00:00:00 |
| NATIONAL FORMULARY NAME |
BENZOYL PEROXIDE/CLINDAMYCIN KIT |
| 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 |
BENZOYL PRX 5%/CLINDAMYCIN 1% GEL KIT |
| VA PRODUCT IDENTIFIER |
B0600 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4027149 |
| EFFECTIVE DATE/TIME |
-
- 2008-02-05 00:00:00
- STATUS: ACTIVE
-
- 2019-03-18 00:00:00
- STATUS: INACTIVE
|
