TIRFUNGOL SOLN,TOP (7440) VA PRODUCT (50.68)

Name	Value
NAME	TIRFUNGOL SOLN,TOP
VA GENERIC NAME	AMMONIA/BENZOIC/PROPIONIC/SALICYLIC/SODIUM/SODIUM/UNDECYLENIC
DOSAGE FORM	SOLN,TOP
ACTIVE INGREDIENTS	SALICYLIC ACID STRENGTH: 4 UNITS: GM ALCOHOL,DENATURED STRENGTH: 50 UNITS: % SODIUM PROPIONATE STRENGTH: 2 UNITS: GM UNDECYLENIC ACID STRENGTH: 4 UNITS: GM AMMONIA,AROMATIC STRENGTH: 4 UNITS: ML PROPIONIC ACID STRENGTH: 4 UNITS: GM SODIUM UNDECYLENATE STRENGTH: 4 UNITS: GM BENZOIC ACID STRENGTH: 4 UNITS: GM
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-26 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	AMMONIA/BENZOIC/PROPIONIC/SALICYLIC/SODIUM/SODIUM/UNDECYLENIC SOLN,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	4007944
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-26 00:00:00 STATUS: INACTIVE