HYDROCORTISONE BUTYRATE 0.1% LOTION (2364) VA PRODUCT (50.68)

Name	Value
NAME	HYDROCORTISONE BUTYRATE 0.1% LOTION
VA GENERIC NAME	HYDROCORTISONE
DOSAGE FORM	LOTION
ACTIVE INGREDIENTS	ALCOHOL,ISOPROPYL STRENGTH: 50 UNITS: % GLYCERIN HYDROCORTISONE BUTYRATE STRENGTH: 0.1 UNITS: % POVIDONE
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	0.1
INACTIVATION DATE	2000-12-08 00:00:00
UNITS	%
DSS NUMBER	58
NATIONAL FORMULARY NAME	HYDROCORTISONE 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	HYDROCORTISONE BUTYRATE 0.1% LOTION
VA PRODUCT IDENTIFIER	H0246
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4002946
EFFECTIVE DATE/TIME	2000-12-08 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE