CHLORAMPHENICOL 1%/DESOXYRIBONUCLEASE/FIBRINOLYSIN OINT,TOP (5291) VA PRODUCT (50.68)

Name	Value
NAME	CHLORAMPHENICOL 1%/DESOXYRIBONUCLEASE/FIBRINOLYSIN OINT,TOP
VA GENERIC NAME	CHLORAMPHENICOL/DESOXYRIBONUCLEASE/FIBRINOLYSIN
DOSAGE FORM	OINT,TOP
ACTIVE INGREDIENTS	MINERAL OIL DESOXYRIBONUCLEASE STRENGTH: 666.6 UNITS: UNIT/GM FIBRINOLYSIN STRENGTH: 1 UNITS: UNIT/GM THIMEROSAL CHLORAMPHENICOL STRENGTH: 10 UNITS: MG/GM
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2003-08-01 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CHLORAMPHENICOL/DESOXYRIBONUCLEASE/FIBRINOLYSIN OINT,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	CHLORAMPHENICOL 1%/ENZYME OINT
VA PRODUCT IDENTIFIER	C0204
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4005827
EFFECTIVE DATE/TIME	2003-08-01 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE