HEMORRHOIDAL-HC 1% OINT,RTL (7175) VA PRODUCT (50.68)

Name	Value
NAME	HEMORRHOIDAL-HC 1% OINT,RTL
VA GENERIC NAME	HEMORRHOIDAL/HYDROCORTISONE
DOSAGE FORM	OINT,RTL
ACTIVE INGREDIENTS	MINERAL OIL PROPYLENE GLYCOL PETROLATUM GLYCERYL MONOSTEARATE IMIDUREA PEG-100 STEARATE POLYSORBATE 60 METHYLPARABEN PROPYLPARABEN HYDROCORTISONE ACETATE STRENGTH: 1 UNITS: % CITRIC ACID
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2016-04-01 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	HEMORRHOIDAL/HYDROCORTISONE OINT,RTL
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	HEMORRHOIDAL/HC 1% RTL OINT
VA PRODUCT IDENTIFIER	H0028
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4007685
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE