GORDOBALM GEL,TOP (9632) VA PRODUCT (50.68)

Name	Value
NAME	GORDOBALM GEL,TOP
VA GENERIC NAME	CAMPHOR/CHLOROXYLENOL/EUCALYPTUS/MENTHOL/METHYL SALICYLATE
DOSAGE FORM	GEL,TOP
ACTIVE INGREDIENTS	ISOPROPYL ALCOHOL STRENGTH: 16 UNITS: % CAMPHOR MENTHOL CHLOROXYLENOL EUCALYPTUS OIL THYMOL METHYL SALICYLATE
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2016-07-14 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CAMPHOR/CHLOROXYLENOL/EUCALYPTUS/MENTHOL/METHYL SALICYLATE 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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4010045
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE