PIPERONYL BUTOXIDE 3.5%/PYRETHRINS 0.3% GEL,TOP (28818) VA PRODUCT (50.68)

Name	Value
NAME	PIPERONYL BUTOXIDE 3.5%/PYRETHRINS 0.3% GEL,TOP
VA GENERIC NAME	PIPERONYL BUTOXIDE/PYRETHRINS
DOSAGE FORM	GEL,TOP
ACTIVE INGREDIENTS	PYRETHRINS STRENGTH: 0.3 UNITS: % PIPERONYL BUTOXIDE STRENGTH: 3.5 UNITS: %
NATIONAL FORMULARY NAME	PIPERONYL BUTOXIDE/PYRETHRINS GEL,TOP
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2018-10-04 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	PIPERONYL BUTOX 3.5%/PYRETH 0.3% TOP GEL
VA PRODUCT IDENTIFIER	P1227
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4037887
EFFECTIVE DATE/TIME	2018-10-05 00:00:00 STATUS: ACTIVE