HYDROCORTISONE ACETATE 0.5% PASTE (2337)    VA PRODUCT (50.68)

Name Value
NAME HYDROCORTISONE ACETATE 0.5% PASTE
VA GENERIC NAME HYDROCORTISONE
DOSAGE FORM PASTE
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.5
INACTIVATION DATE 2007-09-20 00:00:00
UNITS %
DSS NUMBER 31
NATIONAL FORMULARY NAME HYDROCORTISONE PASTE
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 HYDROCORTISONE ACETATE 0.5% PASTE
VA PRODUCT IDENTIFIER H0174
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4002920
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-20 00:00:00
    STATUS:   INACTIVE