CLIOQUINOL 0.3%/HC 0.5%/PRAMOXINE 0.1% CREAM,TOP (6618) VA PRODUCT (50.68)

Name	Value
NAME	CLIOQUINOL 0.3%/HC 0.5%/PRAMOXINE 0.1% CREAM,TOP
VA GENERIC NAME	CLIOQUINOL/HYDROCORTISONE/PRAMOXINE
DOSAGE FORM	CREAM,TOP
ACTIVE INGREDIENTS	CLIOQUINOL STRENGTH: 0.3 UNITS: % HYDROCORTISONE ACETATE STRENGTH: 0.5 UNITS: % PRAMOXINE HYDROCHLORIDE STRENGTH: 0.1 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-19 00:00:00
DSS NUMBER	4
NATIONAL FORMULARY NAME	CLIOQUINOL/HYDROCORTISONE/PRAMOXINE CREAM,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	CLIOQUINOL 0.3/HC 0.5%/PRAMOXINE CREAM
VA PRODUCT IDENTIFIER	C0470
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4007134
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-19 00:00:00 STATUS: INACTIVE