| NAME |
DIMETHICONE 2% OINT,TOP |
| VA GENERIC NAME |
DIMETHICONE |
| DOSAGE FORM |
OINT,TOP |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
2 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2020-09-15 00:00:00 |
| UNITS |
% |
| NATIONAL FORMULARY NAME |
DIMETHICONE OINT,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2018-03-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
DIMETHICONE 2% TOP OINT |
| VA PRODUCT IDENTIFIER |
D1175 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
GM |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037195 |
| EFFECTIVE DATE/TIME |
-
- 2018-01-04 00:00:00
- STATUS: ACTIVE
-
- 2020-09-15 00:00:00
- STATUS: INACTIVE
-
- 2020-09-15 00:00:00
- STATUS: INACTIVE
-
- 2020-09-15 00:00:00
- STATUS: INACTIVE
|
