CALAMINE 0.4%/PRAMOXINE 1%/ZINC 0.4% LOTION,TOP (27061) VA PRODUCT (50.68)

Name	Value
NAME	CALAMINE 0.4%/PRAMOXINE 1%/ZINC 0.4% LOTION,TOP
VA GENERIC NAME	CALAMINE/PRAMOXINE/ZINC
DOSAGE FORM	LOTION,TOP
ACTIVE INGREDIENTS	CALAMINE STRENGTH: 0.4 UNITS: % ZINC OXIDE STRENGTH: 0.4 UNITS: % PRAMOXINE HYDROCHLORIDE STRENGTH: 1 UNITS: %
NATIONAL FORMULARY NAME	CALAMINE/PRAMOXINE/ZINC LOTION,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	CALAMINE 0.4/PRAMOXINE 1/ZINC 0.4%LOTION
VA PRODUCT IDENTIFIER	C1782
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4035934
EFFECTIVE DATE/TIME	2016-07-28 00:00:00 STATUS: ACTIVE