BENZOYL PEROXIDE 2.5% CREAM,TOP (4771)    VA PRODUCT (50.68)

Name Value
NAME BENZOYL PEROXIDE 2.5% CREAM,TOP
VA GENERIC NAME BENZOYL PEROXIDE
DOSAGE FORM CREAM,TOP
HAZARDOUS TO DISPOSE NO
DOT SHIPPING CODE
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 2.5
UNITS %
DSS NUMBER 19
NATIONAL FORMULARY NAME BENZOYL PEROXIDE CREAM,TOP
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% TOP CREAM
VA PRODUCT IDENTIFIER B0304
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4005317
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-18 00:00:00
    STATUS:   INACTIVE
  • 2020-01-09 00:00:00
    STATUS:   ACTIVE