COAL TAR 5%/AMMONIATED HG 5%/METHENAMINE SULFOSALICYLATE 2% OINT (7344) VA PRODUCT (50.68)

Name	Value
NAME	COAL TAR 5%/AMMONIATED HG 5%/METHENAMINE SULFOSALICYLATE 2% OINT
VA GENERIC NAME	AMMONIATED MERCURY/COAL TAR/METHENAMINE SULFOSALICYLATE
DOSAGE FORM	OINT,TOP
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	COAL TAR STRENGTH: 5 UNITS: % MERCURY,AMMONIATED STRENGTH: 5 UNITS: % METHENAMINE SULFOSALICYLATE STRENGTH: 2 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	AMMONIATED MERCURY/COAL TAR/METHENAMINE SULFOSALICYLATE OINT,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	4007849
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE