MENTHOL 0.4%/ZINC OXIDE 20% PASTE,TOP (19302) VA PRODUCT (50.68)

Name	Value
NAME	MENTHOL 0.4%/ZINC OXIDE 20% PASTE,TOP
VA GENERIC NAME	MENTHOL/ZINC OXIDE
DOSAGE FORM	PASTE
ACTIVE INGREDIENTS	MENTHOL STRENGTH: 0.4 UNITS: % ZINC OXIDE STRENGTH: 20 UNITS: %
NATIONAL FORMULARY NAME	MENTHOL/ZINC OXIDE PASTE
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	MENTHOL 0.4%/ZINC OXIDE 20% TOP PASTE
VA PRODUCT IDENTIFIER	M0816
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4027150
EFFECTIVE DATE/TIME	2008-02-05 00:00:00 STATUS: ACTIVE