HYDROCORTISONE BUTYRATE 0.1% EMOLLIENT CREAM,TOP (20638) VA PRODUCT (50.68)

Name	Value
NAME	HYDROCORTISONE BUTYRATE 0.1% EMOLLIENT CREAM,TOP
VA GENERIC NAME	HYDROCORTISONE
DOSAGE FORM	CREAM,TOP
ACTIVE INGREDIENTS	HYDROCORTISONE BUTYRATE STRENGTH: 0.1 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	0.1
SINGLE/MULTI SOURCE PRODUCT	Single source
UNITS	%
NATIONAL FORMULARY NAME	HYDROCORTISONE CREAM,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	HYDROCORTISONE BUTYRATE 0.1% EMOL CREAM
VA PRODUCT IDENTIFIER	H0556
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4028663
EFFECTIVE DATE/TIME	2009-06-10 00:00:00 STATUS: ACTIVE