UREA 25% LOTION (5528)    VA PRODUCT (50.68)

Name Value
NAME UREA 25% LOTION
VA GENERIC NAME UREA
DOSAGE FORM LOTION,TOP
ACTIVE INGREDIENTS
  • UREA
    STRENGTH:   25
    UNITS:   %
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 25
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2004-11-19 00:00:00
UNITS %
DSS NUMBER 13
NATIONAL FORMULARY NAME UREA LOTION,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 UREA 25% LOTION
VA PRODUCT IDENTIFIER U0029
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID NO
VUID 4006057
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2005-12-08 00:00:00
    STATUS:   ACTIVE
  • 2004-11-19 00:00:00
    STATUS:   INACTIVE