SULFACETAMIDE NA 9%/SULFUR 4.25% SUSP,TOP (31156)    VA PRODUCT (50.68)

Name Value
NAME SULFACETAMIDE NA 9%/SULFUR 4.25% SUSP,TOP
VA GENERIC NAME SULFACETAMIDE/SULFUR
DOSAGE FORM SUSP,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME SULFACETAMIDE/SULFUR SUSP,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2021-05-28 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME SULFACETAMIDE NA 9%/SULFUR 4.25%TOP SUSP
VA PRODUCT IDENTIFIER S0919
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4040513
EFFECTIVE DATE/TIME
  • 2021-05-28 00:00:00
    STATUS:   ACTIVE
  • 2021-05-28 00:00:00
    STATUS:   ACTIVE
  • 2021-05-28 00:00:00
    STATUS:   ACTIVE