MENTHOL/METHYL SALICYLATE (10-15%) LOW CONC. LOTION,TOP (23625)    VA PRODUCT (50.68)

Name Value
NAME MENTHOL/METHYL SALICYLATE (10-15%) LOW CONC. LOTION,TOP
VA GENERIC NAME MENTHOL/METHYL SALICYLATE
DOSAGE FORM LOTION
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME MENTHOL/METHYL SALICYLATE LOTION
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 MENTHOL/M-SALICYLATE 10-15% TOP LOTION
VA PRODUCT IDENTIFIER M0978
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4032107
EFFECTIVE DATE/TIME
  • 2013-02-21 00:00:00
    STATUS:   ACTIVE