LACTIC ACID 16.7%/SALICYLIC ACID 16.7%/FLEXIBLE COLLODION,TOP (6435) VA PRODUCT (50.68)

Name	Value
NAME	LACTIC ACID 16.7%/SALICYLIC ACID 16.7%/FLEXIBLE COLLODION,TOP
VA GENERIC NAME	COLLODION,FLEXIBLE/LACTIC ACID/SALICYLIC ACID
DOSAGE FORM	LIQUID,TOP
ACTIVE INGREDIENTS	SALICYLIC ACID STRENGTH: 16.7 UNITS: % LACTIC ACID STRENGTH: 16.7 UNITS: % COLLODION,FLEXIBLE
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2020-04-15 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	COLLODION,FLEXIBLE/LACTIC ACID/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	LACTIC ACID 16.7/SAL AC 16.7%/COLLODION
VA PRODUCT IDENTIFIER	L0116
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4006955
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2020-04-15 00:00:00 STATUS: INACTIVE