MENTHOL 0.15%/PHENOL 1%/ZN OXIDE/LIME WATER LOTION (8272)    VA PRODUCT (50.68)

Name Value
NAME MENTHOL 0.15%/PHENOL 1%/ZN OXIDE/LIME WATER LOTION
VA GENERIC NAME SCHAMBERG'S LOTION
DOSAGE FORM LOTION
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-20 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME SCHAMBERG'S LOTION LOTION
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 SCHAMBERG'S LOTION
VA PRODUCT IDENTIFIER S0098
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4008742
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-20 00:00:00
    STATUS:   INACTIVE