SALICYLIC ACID 13.6%/FLEXIBLE COLLODION LIQUID,TOP (5318) VA PRODUCT (50.68)

Name	Value
NAME	SALICYLIC ACID 13.6%/FLEXIBLE COLLODION LIQUID,TOP
VA GENERIC NAME	SALICYLIC ACID
DOSAGE FORM	LIQUID,TOP
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	SALICYLIC ACID STRENGTH: 13.57 UNITS: % ETHER STRENGTH: 65 UNITS: % ALCOHOL STRENGTH: 21 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2021-11-15 00:00:00
DSS NUMBER	22
NATIONAL FORMULARY NAME	SALICYLIC ACID LIQUID,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	SALICYLIC ACID 13.6%/FLEXIBLE COLLODION
VA PRODUCT IDENTIFIER	S0929
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4005854
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2021-11-15 00:00:00 STATUS: INACTIVE