TOPIC GEL,TOP (9424) VA PRODUCT (50.68)

Name	Value
NAME	TOPIC GEL,TOP
VA GENERIC NAME	BENZYL ALCOHOL/CAMPHOR/ISOPROPYL ALCOHOL/MENTHOL
DOSAGE FORM	GEL,TOP
ACTIVE INGREDIENTS	ISOPROPYL ALCOHOL STRENGTH: 30 UNITS: % CAMPHOR MENTHOL BENZYL ALCOHOL STRENGTH: 5 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-26 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BENZYL ALCOHOL/CAMPHOR/ISOPROPYL ALCOHOL/MENTHOL GEL,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	TOPIC TOPICAL GEL
VA PRODUCT IDENTIFIER	T0193
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4009847
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-26 00:00:00 STATUS: INACTIVE