SUNSCREEN-30 PABA-FREE COMBINATION SPRAY (20702) VA PRODUCT (50.68)

Name	Value
NAME	SUNSCREEN-30 PABA-FREE COMBINATION SPRAY
VA GENERIC NAME	SUNSCREEN PABA-FREE
DOSAGE FORM	SPRAY,TOP
ACTIVE INGREDIENTS	AVOBENZONE STRENGTH: 2 UNITS: % OXYBENZONE STRENGTH: 4 UNITS: % HOMOSALATE STRENGTH: 15 UNITS: % OCTISALATE STRENGTH: 5 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2014-09-18 00:00:00
NATIONAL FORMULARY NAME	SUNSCREEN PABA-FREE SPRAY,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	SUNSCREEN-30 PABA-FREE COMBINATION SPRAY
VA PRODUCT IDENTIFIER	S0623
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4028741
EFFECTIVE DATE/TIME	2009-07-09 00:00:00 STATUS: ACTIVE