PERMETHRIN 0.5%/PIPERONYL BUTOXIDE 4%/PYRETHRINS 0.33% KIT (26634) VA PRODUCT (50.68)

Name	Value
NAME	PERMETHRIN 0.5%/PIPERONYL BUTOXIDE 4%/PYRETHRINS 0.33% KIT
VA GENERIC NAME	PERMETHRIN/PIPERONYL BUTOXIDE/PYRETHRINS
DOSAGE FORM	KIT
ACTIVE INGREDIENTS	PERMETHRIN STRENGTH: 0.5 UNITS: % PIPERONYL BUTOXIDE TECHNICAL STRENGTH: 4 UNITS: % PYRETHRINS STRENGTH: 0.33 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	PERMETHRIN/PIPERONYL BUTOXIDE/PYRETHRINS KIT
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	PERMETH 0.5/PIPERONYL 4/PYRETH 0.33% KIT
VA PRODUCT IDENTIFIER	P1164
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	KIT
MASTER ENTRY FOR VUID	YES
VUID	4035470
EFFECTIVE DATE/TIME	2016-03-10 00:00:00 STATUS: ACTIVE