BENZOYL PEROXIDE 10%/SULFUR 5% LOTION (6432)    VA PRODUCT (50.68)

Name Value
NAME BENZOYL PEROXIDE 10%/SULFUR 5% LOTION
VA GENERIC NAME BENZOYL PEROXIDE/SULFUR
DOSAGE FORM LOTION,TOP
HAZARDOUS TO DISPOSE NO
DOT SHIPPING CODE
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2010-09-02 00:00:00
DSS NUMBER 2
NATIONAL FORMULARY NAME BENZOYL PEROXIDE/SULFUR 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 BENZOYL PEROXIDE 10/SULFUR 5% LOTION
VA PRODUCT IDENTIFIER B0126
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4006952
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2010-09-02 00:00:00
    STATUS:   INACTIVE