DICHLOROTETRAFLUOROETHANE 75%/ETHYL CHLORIDE 25% AEROSOL,TOP (6960) VA PRODUCT (50.68)

Name	Value
NAME	DICHLOROTETRAFLUOROETHANE 75%/ETHYL CHLORIDE 25% AEROSOL,TOP
VA GENERIC NAME	DICHLOROTETRAFLUOROETHANE/ETHYL CHLORIDE
DOSAGE FORM	AEROSOL,TOP
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ETHYL CHLORIDE STRENGTH: 25 UNITS: % DICHLOROTETRAFLUOROETHANE STRENGTH: 75 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-02-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	DICHLOROTETRAFLUOROETHANE/ETHYL CHLORIDE AEROSOL,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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4007472
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-02-18 00:00:00 STATUS: INACTIVE