DIMETHICONE 1%/ZINC OXIDE 10% CREAM,TOP (21791) VA PRODUCT (50.68)

Name	Value
NAME	DIMETHICONE 1%/ZINC OXIDE 10% CREAM,TOP
VA GENERIC NAME	DIMETHICONE/ZINC OXIDE
DOSAGE FORM	CREAM,TOP
ACTIVE INGREDIENTS	DIMETHICONE STRENGTH: 1 UNITS: % ZINC OXIDE STRENGTH: 10 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	DIMETHICONE/ZINC OXIDE 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	DIMETHICONE 1%/ZINC OXIDE 10% TOP CREAM
VA PRODUCT IDENTIFIER	D0852
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4029983
EFFECTIVE DATE/TIME	2010-08-13 00:00:00 STATUS: ACTIVE