ALOE 100MG/VIT A 6666.7UNT/VIT E 100UNT/GM CREAM,TOP (8374) VA PRODUCT (50.68)

Name	Value
NAME	ALOE 100MG/VIT A 6666.7UNT/VIT E 100UNT/GM CREAM,TOP
VA GENERIC NAME	ALOE/VITAMIN A/VITAMIN E
DOSAGE FORM	CREAM,TOP
ACTIVE INGREDIENTS	ALOE STRENGTH: 100 UNITS: MG/GM VITAMIN A STRENGTH: 6666.7 UNITS: UNIT/GM VITAMIN E STRENGTH: 100 UNITS: UNIT/GM
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	2
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	4008842
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE