DIPHENHYDRAMINE HCL 2% SPRAY,TOP (1980) VA PRODUCT (50.68)

Name	Value
NAME	DIPHENHYDRAMINE HCL 2% SPRAY,TOP
VA GENERIC NAME	DIPHENHYDRAMINE
DOSAGE FORM	AEROSOL,TOP
ACTIVE INGREDIENTS	ALCOHOL STRENGTH: 85 UNITS: % DIPHENHYDRAMINE STRENGTH: 2 UNITS: % DIPHENHYDRAMINE HYDROCHLORIDE STRENGTH: 2 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	2
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2004-11-18 00:00:00
UNITS	%
DSS NUMBER	14
NATIONAL FORMULARY NAME	DIPHENHYDRAMINE AEROSOL,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	DIPHENHYDRAMINE HCL 2% TOP SPRAY
VA PRODUCT IDENTIFIER	D1238
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	NO
VUID	4002565
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2004-11-18 00:00:00 STATUS: INACTIVE