BENZOYL PEROXIDE 5%/CLINDAMYCIN PO4 1% PUMP GEL,TOP (26845)    VA PRODUCT (50.68)

Name Value
NAME BENZOYL PEROXIDE 5%/CLINDAMYCIN PO4 1% PUMP GEL,TOP
VA GENERIC NAME BENZOYL PEROXIDE/CLINDAMYCIN
DOSAGE FORM GEL,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME BENZOYL PEROXIDE/CLINDAMYCIN GEL,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 BENZOYL PEROX 5%/CLINDAMYCIN 1% PUMP GEL
VA PRODUCT IDENTIFIER B0813
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4035693
EFFECTIVE DATE/TIME
  • 2016-05-13 00:00:00
    STATUS:   ACTIVE
  • 2019-03-18 00:00:00
    STATUS:   INACTIVE
  • 2021-04-05 00:00:00
    STATUS:   ACTIVE
  • 2021-07-14 00:00:00
    STATUS:   ACTIVE
  • 2021-11-04 00:00:00
    STATUS:   ACTIVE