SENSI-CARE MOISTURIZING CREAM,TOP (25960) VA PRODUCT (50.68)

Name	Value
NAME	SENSI-CARE MOISTURIZING CREAM,TOP
VA GENERIC NAME	MOISTURIZING CREAM
DOSAGE FORM	CREAM,TOP
ACTIVE INGREDIENTS	PETROLATUM STRENGTH: 30 UNITS: % DIMETHICONE STRENGTH: 1 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2022-03-15 00:00:00
NATIONAL FORMULARY NAME	MOISTURIZING CREAM 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	SENSI-CARE MOISTURIZING CREAM,TOP
VA PRODUCT IDENTIFIER	S0782
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4034734
EFFECTIVE DATE/TIME	2015-08-20 00:00:00 STATUS: ACTIVE 2022-03-15 00:00:00 STATUS: INACTIVE