ALOE/BENZOCAINE 20%/LANOLIN/MENTHOL 0.5% AEROSOL,TOP (9259) VA PRODUCT (50.68)

Name	Value
NAME	ALOE/BENZOCAINE 20%/LANOLIN/MENTHOL 0.5% AEROSOL,TOP
VA GENERIC NAME	ALOE/BENZOCAINE/LANOLIN/MENTHOL
DOSAGE FORM	AEROSOL,TOP
ACTIVE INGREDIENTS	MENTHOL STRENGTH: 0.5 UNITS: % LANOLIN ALOE BENZOCAINE STRENGTH: 20 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2012-04-04 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ALOE/BENZOCAINE/LANOLIN/MENTHOL AEROSOL
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	DERMOPLAST SPRAY
VA PRODUCT IDENTIFIER	A0124
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4009686
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2012-04-04 00:00:00 STATUS: INACTIVE