ALCOHOL 28%/SALICYLIC ACID 0.5% PAD,TOP (9437) VA PRODUCT (50.68)

Name	Value
NAME	ALCOHOL 28%/SALICYLIC ACID 0.5% PAD,TOP
VA GENERIC NAME	ALCOHOL/SALICYLIC ACID
DOSAGE FORM	PAD,TOP
ACTIVE INGREDIENTS	SALICYLIC ACID STRENGTH: 0.5 UNITS: % SD ALCOHOL STRENGTH: 28 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ALCOHOL/SALICYLIC ACID PAD,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	ALCOHOL 28/SALICYLIC ACID 0.5% TOP PAD
VA PRODUCT IDENTIFIER	A0113
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4009859
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE