ALOE/HC 1.9%/IODOQUINOL 1% CREAM,TOP,2GM (24196) VA PRODUCT (50.68)

Name	Value
NAME	ALOE/HC 1.9%/IODOQUINOL 1% CREAM,TOP,2GM
VA GENERIC NAME	ALOE/HYDROCORTISONE/IODOQUINOL
DOSAGE FORM	CREAM,TOP
ACTIVE INGREDIENTS	IODOQUINOL STRENGTH: 1 UNITS: % HYDROCORTISONE STRENGTH: 1.9 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	ALOE/HYDROCORTISONE/IODOQUINOL CREAM,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	ALOE/HC 1.9%/IODOQUINOL 1% TOP CREAM
VA PRODUCT IDENTIFIER	A1725
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	YES
VUID	4032739
EFFECTIVE DATE/TIME	2013-09-26 00:00:00 STATUS: ACTIVE