ACETONE/BORIC ACID/RESORCINOL SOLN,TOP (9608)    VA PRODUCT (50.68)

Name Value
NAME ACETONE/BORIC ACID/RESORCINOL SOLN,TOP
VA GENERIC NAME ACETONE/BORIC ACID/RESORCINOL
DOSAGE FORM SOLN,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2009-09-17 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME ACETONE/BORIC ACID/RESORCINOL SOLN,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 ACETONE/BORIC ACID/RESORCINOL TOP SOLN
VA PRODUCT IDENTIFIER A0064
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4010023
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-09-17 00:00:00
    STATUS:   INACTIVE