| NAME |
HALOBETASOL PROPIONATE 0.01%/TAZAROTENE 0.045% LOTION,TOP |
| VA GENERIC NAME |
HALOBETASOL/TAZAROTENE |
| DOSAGE FORM |
LOTION,TOP |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| NATIONAL FORMULARY NAME |
HALOBETASOL/TAZAROTENE LOTION,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2019-05-09 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
HALOBETASOL 0.01%/TAZAROTENE 0.045% LOT |
| VA PRODUCT IDENTIFIER |
H0743 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
GM |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4038357 |
| EFFECTIVE DATE/TIME |
-
- 2019-05-09 00:00:00
- STATUS: ACTIVE
|
