OCTYL METHOXYCINNAMATE/OCTYL SALICYLATE/OXYBENZONE SPF-15 LOTION (9274) VA PRODUCT (50.68)

Name	Value
NAME	OCTYL METHOXYCINNAMATE/OCTYL SALICYLATE/OXYBENZONE SPF-15 LOTION
VA GENERIC NAME	OCTYL METHOXYCINNAMATE/OCTYL SALICYLATE/OXYBENZONE
DOSAGE FORM	LOTION
ACTIVE INGREDIENTS	WATER CETYL ALCOHOL DIMETHICONE CARBOMER 940 OXYBENZONE DIAZOLIDINYL UREA METHYLCHLOROISOTHIAZOLINONE METHYLISOTHIAZOLINONE OCTYL METHOXYCINNAMATE OCTYL SALICYLATE STEARIC ACID TRIETHANOLAMINE
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2014-09-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	OCTYL METHOXYCINNAMATE/OCTYL SALICYLATE/OXYBENZONE 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
VA PRINT NAME	SUNSCREEN-15 PABA-FREE COMBINATION LOT
VA PRODUCT IDENTIFIER	S0170
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4009700
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE