COAL TAR 5% GEL,TOP (5041)    VA PRODUCT (50.68)

Name Value
NAME COAL TAR 5% GEL,TOP
VA GENERIC NAME COAL TAR
DOSAGE FORM GEL,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 5
INACTIVATION DATE 2019-06-18 00:00:00
UNITS %
DSS NUMBER 11
NATIONAL FORMULARY NAME COAL TAR GEL,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 COAL TAR 5% TOP GEL
VA PRODUCT IDENTIFIER C0309
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4005582
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2019-06-18 00:00:00
    STATUS:   INACTIVE
  • 2019-06-18 00:00:00
    STATUS:   INACTIVE