MENTHOL 10%/METHYL SALICYLATE 15% CREAM,TOP (9091) VA PRODUCT (50.68)

Name	Value
NAME	MENTHOL 10%/METHYL SALICYLATE 15% CREAM,TOP
VA GENERIC NAME	MENTHOL/METHYL SALICYLATE
DOSAGE FORM	CREAM,TOP
ACTIVE INGREDIENTS	MENTHOL STRENGTH: 10 UNITS: % LANOLIN,ANHYDROUS METHYL SALICYLATE STRENGTH: 15 UNITS: % GLYCERYL STEARATE POLYSORBATE 85 SORBITAN TRISTEARATE TRIETHANOLAMINE STEARATE
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2012-06-19 00:00:00
DSS NUMBER	12
NATIONAL FORMULARY NAME	MENTHOL/METHYL SALICYLATE 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	MENTHOL 10%/METHYL SALICYLATE 15% CREAM
VA PRODUCT IDENTIFIER	M0631
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4009533
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2012-06-19 00:00:00 STATUS: INACTIVE