CALAMINE,PHENOLATED LOTION (9325) VA PRODUCT (50.68)

Name	Value
NAME	CALAMINE,PHENOLATED LOTION
VA GENERIC NAME	CALAMINE/GLYCERIN/PHENOL/ZINC OXIDE
DOSAGE FORM	LOTION
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	GLYCERIN STRENGTH: 2 UNITS: % CALAMINE STRENGTH: 8 UNITS: % ZINC OXIDE STRENGTH: 8 UNITS: % PHENOL STRENGTH: 1 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2012-09-28 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CALAMINE/GLYCERIN/PHENOL/ZINC OXIDE 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	CALAMINE PHENOLATED LOTION
VA PRODUCT IDENTIFIER	C0004
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4009751
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2012-09-28 00:00:00 STATUS: INACTIVE