ATTAPULGITE 10%/SALICYLIC ACID 2%/SULFUR 2% LOTION (9419) VA PRODUCT (50.68)

Name	Value
NAME	ATTAPULGITE 10%/SALICYLIC ACID 2%/SULFUR 2% LOTION
VA GENERIC NAME	ATTAPULGITE/SALICYLIC ACID/SULFUR
DOSAGE FORM	LOTION
ACTIVE INGREDIENTS	PROPYLENE GLYCOL STRENGTH: 5 UNITS: % SULFUR,COLLOIDAL STRENGTH: 2 UNITS: % SALICYLIC ACID STRENGTH: 2 UNITS: % ATTAPULGITE STRENGTH: 10 UNITS: % POLYSORBATE 80 STRENGTH: 1 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	1
NATIONAL FORMULARY NAME	ATTAPULGITE/SALICYLIC ACID/SULFUR 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	ATTAPULGITE 10/SAL AC 2/SULFUR 2% LOTION
VA PRODUCT IDENTIFIER	A0469
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4009842
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE