HYDROPHOR OINT,TOP (9412)    VA PRODUCT (50.68)

Name Value
NAME HYDROPHOR OINT,TOP
VA GENERIC NAME HYDROPHILIC OINTMENT
DOSAGE FORM OINT,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2013-06-28 00:00:00
DSS NUMBER 2
NATIONAL FORMULARY NAME HYDROPHILIC OINTMENT 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 HYDROPHOR TOP OINT
VA PRODUCT IDENTIFIER H0410
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4009835
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-12-17 00:00:00
    STATUS:   INACTIVE
  • 2008-12-17 00:00:00
    STATUS:   INACTIVE
  • 2011-04-08 00:00:00
    STATUS:   ACTIVE
  • 2011-03-17 00:00:00
    STATUS:   INACTIVE
  • 2011-03-17 00:00:00
    STATUS:   INACTIVE
  • 2012-03-09 00:00:00
    STATUS:   ACTIVE