SALICYLIC ACID 5%/UREA 10% OINT,TOP (23095)    VA PRODUCT (50.68)

Name Value
NAME SALICYLIC ACID 5%/UREA 10% OINT,TOP
VA GENERIC NAME SALICYLIC ACID/UREA
DOSAGE FORM OINT,TOP
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME SALICYLIC ACID/UREA OINT,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 SALICYLIC ACID 5%/UREA 10% TOP OINT
VA PRODUCT IDENTIFIER S0690
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4031487
EFFECTIVE DATE/TIME
  • 2012-06-11 00:00:00
    STATUS:   ACTIVE