SALICYLIC ACID 1.8%/ALCOHOL 61% LOTION (5304) VA PRODUCT (50.68)

Name	Value
NAME	SALICYLIC ACID 1.8%/ALCOHOL 61% LOTION
VA GENERIC NAME	SALICYLIC ACID
DOSAGE FORM	LOTION
ACTIVE INGREDIENTS	LAURETH 4 SALICYLIC ACID STRENGTH: 1.8 UNITS: % ALCOHOL STRENGTH: 61 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	1.8
INACTIVATION DATE	2007-09-25 00:00:00
UNITS	%
DSS NUMBER	8
NATIONAL FORMULARY NAME	SALICYLIC ACID LOTION
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	SALICYLIC ACID 1.8/ALCOHOL 61% LOTION
VA PRODUCT IDENTIFIER	S0077
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4005840
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-25 00:00:00 STATUS: INACTIVE