| NAME |
ANACAULASE-BCDB 8.8% GEL,TOP |
| VA GENERIC NAME |
ANACAULASE-BCDB |
| DOSAGE FORM |
GEL,TOP |
| HAZARDOUS TO DISPOSE |
NO |
| PRIMARY EPA CODE |
D024 -M-CRESOL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
8.8 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
% |
| NATIONAL FORMULARY NAME |
ANACAULASE-BCDB GEL,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2023-01-19 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ANACAULASE-BCDB 8.8% TOP GEL |
| VA PRODUCT IDENTIFIER |
A2149 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
GM |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4041973 |
| EFFECTIVE DATE/TIME |
-
- 2023-01-19 00:00:00
- STATUS: ACTIVE
|
