MENTHOL 7.5% PATCH (26841)    VA PRODUCT (50.68)

Name Value
NAME MENTHOL 7.5% PATCH
VA GENERIC NAME MENTHOL
DOSAGE FORM PATCH
ACTIVE INGREDIENTS
  • MENTHOL
    STRENGTH:   7.5
    UNITS:   %
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 7.5
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS %
NATIONAL FORMULARY NAME MENTHOL PATCH
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
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 MENTHOL 7.5% PATCH
VA PRODUCT IDENTIFIER M1141
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PATCH
MASTER ENTRY FOR VUID YES
VUID 4035689
EFFECTIVE DATE/TIME
  • 2016-05-13 00:00:00
    STATUS:   ACTIVE