PRAMOXINE HCL 1%/ZINC ACETATE 0.1% LOTION,TOP (29439) VA PRODUCT (50.68)

Name	Value
NAME	PRAMOXINE HCL 1%/ZINC ACETATE 0.1% LOTION,TOP
VA GENERIC NAME	PRAMOXINE/ZINC
DOSAGE FORM	LOTION,TOP
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ZINC ACETATE STRENGTH: 0.1 UNITS: % PRAMOXINE HYDROCHLORIDE STRENGTH: 1 UNITS: %
NATIONAL FORMULARY NAME	PRAMOXINE/ZINC LOTION,TOP
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2019-08-01 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	PRAMOXINE 1%/ZINC ACETATE 0.1% LOTION
VA PRODUCT IDENTIFIER	P1248
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4038603
EFFECTIVE DATE/TIME	2019-08-01 00:00:00 STATUS: ACTIVE 2019-08-01 00:00:00 STATUS: ACTIVE