VITAMIN A 3333UNT/VITAMIN E 50UNT/GM LOTION (8375)    VA PRODUCT (50.68)

Name Value
NAME VITAMIN A 3333UNT/VITAMIN E 50UNT/GM LOTION
VA GENERIC NAME ALOE/VITAMIN A/VITAMIN E
DOSAGE FORM LOTION
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-28 00:00:00
DSS NUMBER 3
NATIONAL FORMULARY NAME ALOE/VITAMIN A/VITAMIN E 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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4008843
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-28 00:00:00
    STATUS:   INACTIVE