TROLAMINE SALICYLATE 10% LOTION,TOP (8963)    VA PRODUCT (50.68)

Name Value
NAME TROLAMINE SALICYLATE 10% LOTION,TOP
VA GENERIC NAME TROLAMINE SALICYLATE
DOSAGE FORM LOTION,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 10
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS %
DSS NUMBER 2
NATIONAL FORMULARY NAME TROLAMINE SALICYLATE LOTION,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 TROLAMINE SALICYLATE 10% LOTION
VA PRODUCT IDENTIFIER T0233
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4009408
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE