TIRBANIBULIN 1% OINT,TOP,PKT (30671)    VA PRODUCT (50.68)

Name Value
NAME TIRBANIBULIN 1% OINT,TOP,PKT
VA GENERIC NAME TIRBANIBULIN
DOSAGE FORM OINT,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS %
NATIONAL FORMULARY NAME TIRBANIBULIN OINT,TOP
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2021-01-28 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TIRBANIBULIN 1% TOP OINT PKT
VA PRODUCT IDENTIFIER T1080
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4039992
EFFECTIVE DATE/TIME
  • 2021-01-28 00:00:00
    STATUS:   ACTIVE
  • 2021-01-28 00:00:00
    STATUS:   ACTIVE
  • 2021-01-28 00:00:00
    STATUS:   ACTIVE