CAMPHOR/EUCALYPTUS/MENTHOL/METHYL SALICYLATE LOTION (8974)    VA PRODUCT (50.68)

Name Value
NAME CAMPHOR/EUCALYPTUS/MENTHOL/METHYL SALICYLATE LOTION
VA GENERIC NAME CAMPHOR/EUCALYPTUS OIL/MENTHOL/METHYL SALICYLATE
DOSAGE FORM LOTION
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2010-02-18 00:00:00
DSS NUMBER 2
NATIONAL FORMULARY NAME CAMPHOR/EUCALYPTUS OIL/MENTHOL/METHYL SALICYLATE 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
VA PRINT NAME ANALGESIC LOTION
VA PRODUCT IDENTIFIER C0069
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4009419
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-28 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2010-02-18 00:00:00
    STATUS:   INACTIVE