ALCOHOL/GUM BENZOIN 7% COLD SORE LOTION (9928)    VA PRODUCT (50.68)

Name Value
NAME ALCOHOL/GUM BENZOIN 7% COLD SORE LOTION
VA GENERIC NAME ALCOHOL/GUM BENZOIN
DOSAGE FORM LOTION,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-18 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME ALCOHOL/GUM BENZOIN LOTION,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 ALCOHOL/GUM BENZOIN 7% COLD SORE LOTION
VA PRODUCT IDENTIFIER A0802
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4010321
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-18 00:00:00
    STATUS:   INACTIVE