MENTHOL 3.6MG LOZENGE (9066) VA PRODUCT (50.68)

Name	Value
NAME	MENTHOL 3.6MG LOZENGE
VA GENERIC NAME	MENTHOL
DOSAGE FORM	LOZENGE
ACTIVE INGREDIENTS	MENTHOL STRENGTH: 3.6 UNITS: MG CETYLPYRIDINIUM CHLORIDE SUCROSE F D & C RED #40 D & C RED #33 GLUCOSE LIQUID FLAVOR,CHERRY BENZYL ALCOHOL
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	3.6
INACTIVATION DATE	2010-02-04 00:00:00
UNITS	MG
DSS NUMBER	5
NATIONAL FORMULARY NAME	MENTHOL LOZENGE
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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4009508
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-02-04 00:00:00 STATUS: INACTIVE 2010-02-04 00:00:00 STATUS: INACTIVE