| NAME |
SULFACETAMIDE NA 9%/SULFUR 4.5% SUSP,TOP |
| VA GENERIC NAME |
SULFACETAMIDE/SULFUR |
| DOSAGE FORM |
SUSP,TOP |
| HAZARDOUS TO DISPOSE |
NO |
| PRIMARY EPA CODE |
D009-MERCURY |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
SULFACETAMIDE/SULFUR SUSP,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2023-04-20 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
SULFACETAMIDE NA 9%/SULFUR 4.5%TOP SUSP |
| VA PRODUCT IDENTIFIER |
S0971 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
GM |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4042182 |
| EFFECTIVE DATE/TIME |
-
- 2023-04-20 00:00:00
- STATUS: ACTIVE
|
