CETYLPYRIDINIUM CL/CHLOROXYLENOL/HC 0.5%/TRIACETIN CREAM,TOP (8687)    VA PRODUCT (50.68)

Name Value
NAME CETYLPYRIDINIUM CL/CHLOROXYLENOL/HC 0.5%/TRIACETIN CREAM,TOP
VA GENERIC NAME CETYLPYRIDINIUM CHLORIDE/CHLOROXYLENOL/HYDROCORTISONE/TRIACETIN
DOSAGE FORM CREAM,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-19 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME CETYLPYRIDINIUM CHLORIDE/CHLOROXYLENOL/HYDROCORTISONE/TRIACETIN 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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4009144
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE