| NAME |
PERMETHRIN 1% RINSE/0.25% SPRAY TOP,KIT |
| VA GENERIC NAME |
PERMETHRIN |
| DOSAGE FORM |
LIQUID,TOP |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| NATIONAL FORMULARY NAME |
PERMETHRIN LIQUID,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
PERMETHRIN 1% RINSE/0.25% SPRAY TOP,KIT |
| VA PRODUCT IDENTIFIER |
P1174 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4036018 |
| EFFECTIVE DATE/TIME |
-
- 2016-08-26 00:00:00
- STATUS: ACTIVE
|
