CLOTRIMAZOLE 1% CREAM/CLOTRIMAZOLE 500MG TAB,VAG (3810)    VA PRODUCT (50.68)

Name Value
NAME CLOTRIMAZOLE 1% CREAM/CLOTRIMAZOLE 500MG TAB,VAG
VA GENERIC NAME CLOTRIMAZOLE
DOSAGE FORM CREAM/TAB,VAG
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-19 00:00:00
DSS NUMBER 7
NATIONAL FORMULARY NAME CLOTRIMAZOLE CREAM/TAB,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 MYCELEX TWIN PACK
VA PRODUCT IDENTIFIER C0483
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4004368
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE