HEMORRHOIDAL OINT,RTL (8303) VA PRODUCT (50.68)

Name	Value
NAME	HEMORRHOIDAL OINT,RTL
VA GENERIC NAME	CAMPHOR/EPHEDRINE/ZINC OXIDE
DOSAGE FORM	OINT,RTL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	PETROLATUM CAMPHOR STRENGTH: 2 UNITS: % DIPERODON HYDROCHLORIDE STRENGTH: 0.25 UNITS: % BISMUTH SUBCARBONATE STRENGTH: 0.2 UNITS: % COD LIVER OIL ZINC OXIDE STRENGTH: 5 UNITS: % PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 0.25 UNITS: % EPHEDRINE SULFATE STRENGTH: 0.2 UNITS: % PYRILAMINE MALEATE STRENGTH: 0.1 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2002-10-22 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CAMPHOR/EPHEDRINE/ZINC OXIDE OINT,RTL
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	HEMORRHOIDAL RTL OINT
VA PRODUCT IDENTIFIER	H0026
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	NO
VUID	4008771
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2002-10-22 00:00:00 STATUS: INACTIVE