| NAME |
SULFACETAMIDE NA 10%/SULFUR 5%/UREA 10% WASH,TOP |
| VA GENERIC NAME |
SULFACETAMIDE/SULFUR/UREA |
| DOSAGE FORM |
SOAP/DETERGENT |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| NATIONAL FORMULARY NAME |
SULFACETAMIDE/SULFUR/UREA SOAP/DETERGENT |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2019-02-06 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
SULFACETAMIDE 10/SULFUR 5/UREA 10% WASH |
| VA PRODUCT IDENTIFIER |
S0864 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4038137 |
| EFFECTIVE DATE/TIME |
-
- 2019-02-06 00:00:00
- STATUS: ACTIVE
|
