ALCOHOL 21%/SULFUR 5%/ZINC OXIDE 10%/ZINC SO4 1% LOTION (9561) VA PRODUCT (50.68)

Name	Value
NAME	ALCOHOL 21%/SULFUR 5%/ZINC OXIDE 10%/ZINC SO4 1% LOTION
VA GENERIC NAME	ALCOHOL/SULFUR/ZINC OXIDE/ZINC SULFATE
DOSAGE FORM	LOTION
ACTIVE INGREDIENTS	SULFUR STRENGTH: 5 UNITS: % ALCOHOL STRENGTH: 21 UNITS: % ZINC OXIDE STRENGTH: 10 UNITS: % ZINC SULFATE STRENGTH: 1 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ALCOHOL/SULFUR/ZINC OXIDE/ZINC SULFATE 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	ACNEDERM LOTION
VA PRODUCT IDENTIFIER	A0490
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4009977
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE