CALAMINE/CAMPHOR/DIPHENHYDRAMINE 1% LOTION (9049) VA PRODUCT (50.68)

Name	Value
NAME	CALAMINE/CAMPHOR/DIPHENHYDRAMINE 1% LOTION
VA GENERIC NAME	CALAMINE/CAMPHOR/DIPHENHYDRAMINE
DOSAGE FORM	LOTION
ACTIVE INGREDIENTS	CAMPHOR CALAMINE DIPHENHYDRAMINE HYDROCHLORIDE STRENGTH: 1 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2017-10-30 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CALAMINE/CAMPHOR/DIPHENHYDRAMINE 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	CALAMINE/CAMPHOR/DIPHENHYDRAMINE LOTION
VA PRODUCT IDENTIFIER	C1414
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4009491
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2017-10-30 00:00:00 STATUS: INACTIVE