GELATIN 1.1%/GLYCERIN 29.7%/KARAYA 22.3%/ZN OXIDE 9.3% DRESSING (7471) VA PRODUCT (50.68)

Name	Value
NAME	GELATIN 1.1%/GLYCERIN 29.7%/KARAYA 22.3%/ZN OXIDE 9.3% DRESSING
VA GENERIC NAME	GELATIN/GLYCERIN/KARAYA GUM/ZINC OXIDE
DOSAGE FORM	DRESSING,TOP
ACTIVE INGREDIENTS	GELATIN STRENGTH: 1.1 UNITS: % KARAYA GUM STRENGTH: 22.3 UNITS: % GLYCERIN STRENGTH: 29.7 UNITS: % ZINC OXIDE STRENGTH: 9.3 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	GELATIN/GLYCERIN/KARAYA GUM/ZINC OXIDE DRESSING,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	4007975
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE