ALOE/VIT A 100000UNT/VIT E 1500UNT/30GM CREAM,TOP (8373) VA PRODUCT (50.68)

Name	Value
NAME	ALOE/VIT A 100000UNT/VIT E 1500UNT/30GM CREAM,TOP
VA GENERIC NAME	ALOE/VITAMIN A/VITAMIN E
DOSAGE FORM	CREAM,TOP
ACTIVE INGREDIENTS	ALOE VITAMIN A STRENGTH: 100000 UNITS: UNIT/30GM VITAMIN E STRENGTH: 1500 UNITS: UNIT/30GM
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ALOE/VITAMIN A/VITAMIN E CREAM,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
VA PRINT NAME	VIT A/VIT E/ALOE CREAM
VA PRODUCT IDENTIFIER	A0133
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4008841
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE