DIPHENHYDRAMINE HCL 2%/ZINC ACETATE 0.1% CREAM,TOP (22425) VA PRODUCT (50.68)

Name	Value
NAME	DIPHENHYDRAMINE HCL 2%/ZINC ACETATE 0.1% CREAM,TOP
VA GENERIC NAME	DIPHENHYDRAMINE/ZINC ACETATE
DOSAGE FORM	CREAM,TOP
ACTIVE INGREDIENTS	ZINC ACETATE STRENGTH: 0.1 UNITS: % DIPHENHYDRAMINE HYDROCHLORIDE STRENGTH: 2 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	DIPHENHYDRAMINE/ZINC ACETATE 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	DIPHENHYDRAMINE/ZINC ACET TOP CREAM
VA PRODUCT IDENTIFIER	D0891
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4030703
EFFECTIVE DATE/TIME	2011-06-06 00:00:00 STATUS: ACTIVE