MONOBASE CREAM,TOP (9413) VA PRODUCT (50.68)

Name	Value
NAME	MONOBASE CREAM,TOP
VA GENERIC NAME	CETYL ALCOHOL/PROPYLENE GLYCOL/STEARYL ALCOHOL/WAX
DOSAGE FORM	CREAM
ACTIVE INGREDIENTS	STEARYL ALCOHOL PROPYLENE GLYCOL CETYL ALCOHOL WATER,PURIFIED PETROLATUM,WHITE SODIUM LAURYL SULFATE SPERMACETI METHYLPARABEN PROPYLPARABEN
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CETYL ALCOHOL/PROPYLENE GLYCOL/STEARYL ALCOHOL/WAX CREAM
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	4009836
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE