SULFACETAMIDE NA 9.8%/SULFUR 4.8% WASH,TOP (24600) VA PRODUCT (50.68)

Name	Value
NAME	SULFACETAMIDE NA 9.8%/SULFUR 4.8% WASH,TOP
VA GENERIC NAME	SULFACETAMIDE/SULFUR
DOSAGE FORM	SOAP/DETERGENT
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	SULFUR STRENGTH: 4.8 UNITS: % SULFACETAMIDE SODIUM STRENGTH: 9.8 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	SULFACETAMIDE/SULFUR SOAP/DETERGENT
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	SULFACETAMIDE 9.8%/SULFUR 4.8% TOP WASH
VA PRODUCT IDENTIFIER	S0893
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4033199
EFFECTIVE DATE/TIME	2014-04-09 00:00:00 STATUS: ACTIVE