SPECTRO-JEL TOP (9962) VA PRODUCT (50.68)

Name	Value
NAME	SPECTRO-JEL TOP
VA GENERIC NAME	SPECTRO-JEL
DOSAGE FORM	GEL,TOP
ACTIVE INGREDIENTS	ISOPROPYL ALCOHOL STRENGTH: 5 UNITS: % PROPYLENE GLYCOL CETYL ALCOHOL GLYCERIN SORBITAN MONOOLEATE CARBOXYPOLYMETHYLENE GLYCOL POLYSILOXANE SILICA,FUMED TRIETHANOLAMINE STEARATE METHYLCELLULOSE
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2016-06-21 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	SPECTRO-JEL 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	4010352
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE