HYDROCORTISONE ACETATE 1% CREAM,TOP (2340)    VA PRODUCT (50.68)

Name Value
NAME HYDROCORTISONE ACETATE 1% CREAM,TOP
VA GENERIC NAME HYDROCORTISONE
DOSAGE FORM CREAM,RTL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2004-11-18 00:00:00
UNITS %
DSS NUMBER 57
NATIONAL FORMULARY NAME HYDROCORTISONE CREAM,RTL
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 1% CREAM
VA PRODUCT IDENTIFIER H0177
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID NO
VUID 4002923
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2005-12-08 00:00:00
    STATUS:   ACTIVE
  • 2004-11-18 00:00:00
    STATUS:   INACTIVE