| NAME |
GLYCERIN 10%/WITCH HAZEL 50% PAD |
| VA GENERIC NAME |
GLYCERIN/WITCH HAZEL |
| DOSAGE FORM |
PAD |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2011-01-28 00:00:00 |
| DSS NUMBER |
2 |
| NATIONAL FORMULARY NAME |
GLYCERIN/WITCH HAZEL PAD |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
GLYCERIN 10/WITCH HAZEL 50% PAD |
| VA PRODUCT IDENTIFIER |
G0060 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4009553 |
| EFFECTIVE DATE/TIME |
-
- 1999-07-26 00:00:00
- STATUS: INACTIVE
-
- 2005-12-08 00:00:00
- STATUS: INACTIVE
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2011-01-28 00:00:00
- STATUS: INACTIVE
|
