CLOTRIMAZOLE 100MG TAB,VAG (3806)    VA PRODUCT (50.68)

Name Value
NAME CLOTRIMAZOLE 100MG TAB,VAG
VA GENERIC NAME CLOTRIMAZOLE
DOSAGE FORM SUPP,VAG
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 100
INACTIVATION DATE 2002-12-06 00:00:00
UNITS MG
DSS NUMBER 9
NATIONAL FORMULARY NAME CLOTRIMAZOLE SUPP,VAG
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CLOTRIMAZOLE 100MG VAG TAB
VA PRODUCT IDENTIFIER C0486
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID NO
VUID 4004364
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE
  • 2005-06-17 00:00:00
    STATUS:   INACTIVE
  • 2002-12-06 00:00:00
    STATUS:   INACTIVE