COAL TAR 0.4%/SALICYLIC ACID 1.5%/SULFUR 1.1% OINT,TOP (9281)    VA PRODUCT (50.68)

Name Value
NAME COAL TAR 0.4%/SALICYLIC ACID 1.5%/SULFUR 1.1% OINT,TOP
VA GENERIC NAME COAL TAR/SALICYLIC ACID/SULFUR
DOSAGE FORM OINT,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2012-06-21 00:00:00
DSS NUMBER 4
NATIONAL FORMULARY NAME COAL TAR/SALICYLIC ACID/SULFUR OINT,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 COAL TAR 0.4/SAL AC 1.5/SULFUR 1.1% OINT
VA PRODUCT IDENTIFIER C0683
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4009707
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-18 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2012-06-21 00:00:00
    STATUS:   INACTIVE