DIMETHICONE 5% CREAM/TRIAMCINOLONE ACETONIDE 0.1% OINTMENT,KIT (27571)    VA PRODUCT (50.68)

Name Value
NAME DIMETHICONE 5% CREAM/TRIAMCINOLONE ACETONIDE 0.1% OINTMENT,KIT
VA GENERIC NAME DIMETHICONE/TRIAMCINOLONE
DOSAGE FORM KIT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME DIMETHICONE/TRIAMCINOLONE KIT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-05-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DIMETHICONE 5% CREAM/TAC 0.1% OINT KIT
VA PRODUCT IDENTIFIER D1150
TRANSMIT TO CMOP YES
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4036490
EFFECTIVE DATE/TIME
  • 2017-03-17 00:00:00
    STATUS:   ACTIVE