KERI LOTION (FRESH HERBAL) (9265) VA PRODUCT (50.68)

Name	Value
NAME	KERI LOTION (FRESH HERBAL)
VA GENERIC NAME	KERI
DOSAGE FORM	LOTION
ACTIVE INGREDIENTS	LAURETH 4 MINERAL OIL PROPYLENE GLYCOL LANOLIN OIL PEG-4 DILAURATE WATER PEG-100 STEARATE CARBOMER 934 PEG-40 STEARATE DOCUSATE SODIUM FRAGRANCE,HERBAL GLYCERYL STEARATE PARABENS QUATERNIUM 15 TRIETHANOLAMINE
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	5
NATIONAL FORMULARY NAME	KERI LOTION
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	4009692
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE 2007-10-10 00:00:00 STATUS: ACTIVE