ALPHA KERI SPRAY MIST OIL,TOP (9254) VA PRODUCT (50.68)

Name	Value
NAME	ALPHA KERI SPRAY MIST OIL,TOP
VA GENERIC NAME	ALPHA KERI
DOSAGE FORM	OIL,TOP
ACTIVE INGREDIENTS	MINERAL OIL LANOLIN OIL PEG-4 DILAURATE C12-15 ALCOHOLS BENZOATE POLYSORBATE 85 PPG-15 STEARYL ETHER SD ALCOHOL 40 STRENGTH: 28 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	ALPHA KERI OIL,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	BATH OIL SPRAY
VA PRODUCT IDENTIFIER	B0249
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4009683
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE