CALAMINE/DIPHENHYDRAMINE HCL 1% CREAM,TOP (8889) VA PRODUCT (50.68)

Name	Value
NAME	CALAMINE/DIPHENHYDRAMINE HCL 1% CREAM,TOP
VA GENERIC NAME	CALAMINE/DIPHENHYDRAMINE
DOSAGE FORM	CREAM,TOP
ACTIVE INGREDIENTS	CAMPHOR CALAMINE DIPHENHYDRAMINE HYDROCHLORIDE STRENGTH: 1 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	CALAMINE/DIPHENHYDRAMINE 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	CALAMINE/DIPHENHYDRAMINE 1% CREAM
VA PRODUCT IDENTIFIER	C0005
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4009341
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE