ALUMINUM ACETATE 1%/CAMPHOR 3%/MENTHOL 0.5%/PHENOL 1% CREAM,TOP (9410)    VA PRODUCT (50.68)

Name Value
NAME ALUMINUM ACETATE 1%/CAMPHOR 3%/MENTHOL 0.5%/PHENOL 1% CREAM,TOP
VA GENERIC NAME ALUMINUM ACETATE/CAMPHOR/MENTHOL/PHENOL
DOSAGE FORM CREAM,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-28 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME ALUMINUM ACETATE/CAMPHOR/MENTHOL/PHENOL CREAM,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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4009833
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-28 00:00:00
    STATUS:   INACTIVE