BETAMETHASONE DIPROPIONATE 0.05% AUGMENTED GEL (5272)    VA PRODUCT (50.68)

Name Value
NAME BETAMETHASONE DIPROPIONATE 0.05% AUGMENTED GEL
VA GENERIC NAME BETAMETHASONE
DOSAGE FORM GEL,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.05
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS %
DSS NUMBER 22
NATIONAL FORMULARY NAME BETAMETHASONE 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 BETAMETHASONE DIPRO AUGMENT 0.05% GEL
VA PRODUCT IDENTIFIER B0254
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4005808
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2011-10-05 00:00:00
    STATUS:   INACTIVE
  • 2011-11-04 00:00:00
    STATUS:   ACTIVE