CASTOR OIL 788MG/PERUVIAN BALSAM 87MG/GM OINT,TOP (25683) VA PRODUCT (50.68)

Name	Value
NAME	CASTOR OIL 788MG/PERUVIAN BALSAM 87MG/GM OINT,TOP
VA GENERIC NAME	CASTOR OIL/PERUVIAN BALSAM
DOSAGE FORM	OINT,TOP
ACTIVE INGREDIENTS	PERUVIAN BALSAM STRENGTH: 87 UNITS: MG/GM CASTOR OIL STRENGTH: 788 UNITS: MG/GM
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	CASTOR OIL/PERUVIAN BALSAM OINT,TOP
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00 COPAY END DATE: 2019-07-04 00:00:00 COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2019-07-05 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	CASTOR OIL/PERUVIAN BALSAM TOP OINT
VA PRODUCT IDENTIFIER	C1708
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4034432
EFFECTIVE DATE/TIME	2015-05-05 00:00:00 STATUS: ACTIVE