MENTHOL 8% SPRAY,TOP (31275)    VA PRODUCT (50.68)

Name Value
NAME MENTHOL 8% SPRAY,TOP
VA GENERIC NAME MENTHOL
DOSAGE FORM SPRAY,TOP
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR TEXT 
Not supplied by pharmacy for inpatient use.
ACTIVE INGREDIENTS
STRENGTH 8
UNITS %
NATIONAL FORMULARY NAME MENTHOL SPRAY,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2021-07-08 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME MENTHOL 8% TOP SPRAY
VA PRODUCT IDENTIFIER M1264
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4040640
EFFECTIVE DATE/TIME
  • 2021-07-08 00:00:00
    STATUS:   ACTIVE
  • 2021-07-08 00:00:00
    STATUS:   ACTIVE
  • 2021-07-08 00:00:00
    STATUS:   ACTIVE