| NAME |
ACNE AID BAR |
| VA GENERIC NAME |
ACNE AID |
| DOSAGE FORM |
BAR,TOP |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
6.3 |
| UNITS |
% |
| DSS NUMBER |
1 |
| NATIONAL FORMULARY NAME |
ACNE AID BAR,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
- COPAY END DATE: 2017-06-30 00:00:00
-
- COPAY TIER LEVEL: 0
- COPAY EFFECTIVE DATE: 2017-07-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ACNE AID BAR |
| VA PRODUCT IDENTIFIER |
A1406 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
BAR |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4010248 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
|
