DIMETHICONE 5%/TRIAMCINOLONE ACETONIDE 0.1% CREAM,KIT (25933)    VA PRODUCT (50.68)

Name Value
NAME DIMETHICONE 5%/TRIAMCINOLONE ACETONIDE 0.1% CREAM,KIT
VA GENERIC NAME DIMETHICONE/TRIAMCINOLONE
DOSAGE FORM KIT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME DIMETHICONE/TRIAMCINOLONE KIT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DIMETHICONE 5%/TAC 0.1% CREAM KIT
VA PRODUCT IDENTIFIER D1107
TRANSMIT TO CMOP YES
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4034706
EFFECTIVE DATE/TIME
  • 2015-08-13 00:00:00
    STATUS:   ACTIVE