| NAME |
CALAMINE 3.5%/MENTHOL 0.2%/PETROLATUM/ZINC OXIDE 16.5% OINT,TOP |
| VA GENERIC NAME |
CALAMINE/MENTHOL/PETROLATUM/ZINC OXIDE |
| DOSAGE FORM |
OINT,TOP |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2022-10-17 00:00:00 |
| NATIONAL FORMULARY NAME |
CALAMINE/MENTHOL/PETROLATUM/ZINC OXIDE OINT,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-05-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
REMEDY CALAZIME SKIN PROTECTANT PASTE |
| VA PRODUCT IDENTIFIER |
R0363 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
GM |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4036551 |
| EFFECTIVE DATE/TIME |
-
- 2017-04-05 00:00:00
- STATUS: ACTIVE
-
- 2022-10-17 00:00:00
- STATUS: INACTIVE
|
