CAMPHOR 3%/MENTHOL 3% GEL,TOP (29521)    VA PRODUCT (50.68)

Name Value
NAME CAMPHOR 3%/MENTHOL 3% GEL,TOP
VA GENERIC NAME CAMPHOR/MENTHOL
DOSAGE FORM GEL,TOP
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR TEXT 
Not supplied by pharmacy for inpatient use.
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME CAMPHOR/MENTHOL GEL,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2019-09-16 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CAMPHOR 3%/MENTHOL 3% TOP GEL
VA PRODUCT IDENTIFIER C1902
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4038698
EFFECTIVE DATE/TIME
  • 2019-09-18 00:00:00
    STATUS:   ACTIVE