GLYCERIN 50%/KAOLIN 33%/NA FLUORIDE 17% CREAM (7441)    VA PRODUCT (50.68)

Name Value
NAME GLYCERIN 50%/KAOLIN 33%/NA FLUORIDE 17% CREAM
VA GENERIC NAME GLYCERIN/KAOLIN/SODIUM FLUORIDE
DOSAGE FORM CREAM,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-28 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME GLYCERIN/KAOLIN/SODIUM FLUORIDE CREAM,ORAL
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 4007945
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-28 00:00:00
    STATUS:   INACTIVE