| NAME |
DIMETHICONE 1.2% LOTION,TOP |
| VA GENERIC NAME |
DIMETHICONE |
| DOSAGE FORM |
LOTION,TOP |
| ACTIVE INGREDIENTS |
|
| STRENGTH |
1.2 |
| UNITS |
% |
| NATIONAL FORMULARY NAME |
DIMETHICONE LOTION,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2018-08-21 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
DIMETHICONE 1.2% TOP LOTION |
| VA PRODUCT IDENTIFIER |
D1188 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037751 |
| EFFECTIVE DATE/TIME |
-
- 2018-08-21 00:00:00
- STATUS: ACTIVE
|
