| NAME |
OXYBENZONE 3%/PADIMATE O 7% STICK |
| VA GENERIC NAME |
OXYBENZONE/PADIMATE O |
| DOSAGE FORM |
STICK |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2014-09-18 00:00:00 |
| DSS NUMBER |
5 |
| NATIONAL FORMULARY NAME |
OXYBENZONE/PADIMATE O STICK |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
SUNSCREEN-15 OXYBENZONE/PADIMATE STICK |
| VA PRODUCT IDENTIFIER |
S0130 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4009230 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
|
