BENZOXIQUINE 0.275%/ICHTHAMMOL 20% OINT,TOP (9912)    VA PRODUCT (50.68)

Name Value
NAME BENZOXIQUINE 0.275%/ICHTHAMMOL 20% OINT,TOP
VA GENERIC NAME BENZOXIQUINE/ICHTHAMMOL
DOSAGE FORM OINT,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2009-06-12 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME BENZOXIQUINE/ICHTHAMMOL OINT,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 BENZOXIQUINE 0.275/ICHTHAMMOL 20% OINT
VA PRODUCT IDENTIFIER B0361
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4010311
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-06-12 00:00:00
    STATUS:   INACTIVE