DIMETHICONE 1.8%/ZINC OXIDE 2% OINT,TOP (30696)    VA PRODUCT (50.68)

Name Value
NAME DIMETHICONE 1.8%/ZINC OXIDE 2% OINT,TOP
VA GENERIC NAME DIMETHICONE/ZINC OXIDE
DOSAGE FORM OINT,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME DIMETHICONE/ZINC OXIDE OINT,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2021-02-04 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DIMETHICONE 1.8%/ZINC OXIDE 2% TOP OINT
VA PRODUCT IDENTIFIER D1255
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4040021
EFFECTIVE DATE/TIME
  • 2021-02-05 00:00:00
    STATUS:   ACTIVE
  • 2021-02-05 00:00:00
    STATUS:   ACTIVE
  • 2021-02-05 00:00:00
    STATUS:   ACTIVE