BENZOYL PEROXIDE 2.5% WASH,TOP (4766) VA PRODUCT (50.68)

Name	Value
NAME	BENZOYL PEROXIDE 2.5% WASH,TOP
VA GENERIC NAME	BENZOYL PEROXIDE
DOSAGE FORM	SOAP/DETERGENT
HAZARDOUS TO DISPOSE	NO
DOT SHIPPING CODE
ACTIVE INGREDIENTS	BENZOYL PEROXIDE STRENGTH: 2.5 UNITS: % WATER CARBOMER 940 GLYCERIN ACRYLATES COPOLYMER SODIUM OLEFIN SULFONATE SODIUM HYDROXIDE CITRIC ACID
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	2.5
SINGLE/MULTI SOURCE PRODUCT	Single source
UNITS	%
DSS NUMBER	14
NATIONAL FORMULARY NAME	BENZOYL PEROXIDE SOAP/DETERGENT
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	BENZOYL PEROXIDE 2.5% WASH
VA PRODUCT IDENTIFIER	B0129
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4005312
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE