BASIC FUCHSIN 0.53%/BORIC ACID 1%/RESORCINOL 10.3%/ACETONE TOP (7103)    VA PRODUCT (50.68)

Name Value
NAME BASIC FUCHSIN 0.53%/BORIC ACID 1%/RESORCINOL 10.3%/ACETONE TOP
VA GENERIC NAME ACETONE/BASIC FUCHSIN/BORIC ACID/RESORCINOL
DOSAGE FORM LIQUID,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-02-18 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME ACETONE/BASIC FUCHSIN/BORIC ACID/RESORCINOL 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 CASTELLANI TOP PAINT
VA PRODUCT IDENTIFIER C0126
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4007613
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-02-18 00:00:00
    STATUS:   INACTIVE