BACITRACIN ZINC 500UNT/POLYMYXIN B SO4 10000UNT/GM OINT,TOP (5987) VA PRODUCT (50.68)

Name	Value
NAME	BACITRACIN ZINC 500UNT/POLYMYXIN B SO4 10000UNT/GM OINT,TOP
VA GENERIC NAME	BACITRACIN/POLYMYXIN B
DOSAGE FORM	OINT,TOP
ACTIVE INGREDIENTS	MINERAL OIL PETROLATUM MINERAL WAX POLYMYXIN B SULFATE STRENGTH: 10000 UNITS: UNIT/GM BACITRACIN ZINC STRENGTH: 500 UNITS: UNIT/GM
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	2
NATIONAL FORMULARY NAME	BACITRACIN/POLYMYXIN B 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	BACITRACIN 500/POLYMYXIN 10000/GM OINT
VA PRODUCT IDENTIFIER	B0595
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4006509
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE