SALICYLIC ACID 5% CREAM,TOP (31009)    VA PRODUCT (50.68)

Name Value
NAME SALICYLIC ACID 5% CREAM,TOP
VA GENERIC NAME SALICYLIC ACID
DOSAGE FORM CREAM,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 5
INACTIVATION DATE 2021-07-15 00:00:00
UNITS %
NATIONAL FORMULARY NAME SALICYLIC ACID CREAM,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2021-04-15 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SALICYLIC ACID 5% TOP CREAM
VA PRODUCT IDENTIFIER S0913
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4040352
EFFECTIVE DATE/TIME
  • 2021-04-15 00:00:00
    STATUS:   ACTIVE
  • 2021-04-15 00:00:00
    STATUS:   ACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE
  • 2021-04-15 00:00:00
    STATUS:   ACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE