MASSENGILL DOUCHE POWDER,VAG (9973) VA PRODUCT (50.68)

Name	Value
NAME	MASSENGILL DOUCHE POWDER,VAG
VA GENERIC NAME	EUCALYPTUS OIL/MENTHOL/METHYL SALICYLATE/PHENOL/SODIUM CHLORIDE
DOSAGE FORM	POWDER,VAG
ACTIVE INGREDIENTS	MENTHOL EUCALYPTUS OIL THYMOL METHYL SALICYLATE PHENOL ALUM,AMMONIUM PEG-8 SODIUM CHLORIDE
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-02 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	EUCALYPTUS OIL/MENTHOL/METHYL SALICYLATE/PHENOL/SODIUM CHLORIDE POWDER
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	4010363
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE