RASH RELIEF SILVER SPRAY,TOP (20766) VA PRODUCT (50.68)

Name	Value
NAME	RASH RELIEF SILVER SPRAY,TOP
VA GENERIC NAME	SILVER
DOSAGE FORM	SPRAY,TOP
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	DIMETHICONE STRENGTH: 20 UNITS: % ZINC OXIDE STRENGTH: 25 UNITS: % SILVER COLLOIDAL STRENGTH: 25 UNITS: PPM
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	SILVER 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	RASH RELIEF SILVER TOP SPRAY
VA PRODUCT IDENTIFIER	R0260
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4028832
EFFECTIVE DATE/TIME	2009-08-11 00:00:00 STATUS: ACTIVE