CARRINGTON INCONTINENCE SKIN KIT (9982) VA PRODUCT (50.68)

Name	Value
NAME	CARRINGTON INCONTINENCE SKIN KIT
VA GENERIC NAME	CARA-KLENZ
DOSAGE FORM	KIT
ACTIVE INGREDIENTS	MINERAL OIL PETROLATUM WATER WATER,PURIFIED POTASSIUM SORBATE LECITHIN SODIUM LAURYL SULFATE VITAMIN E ALOE VERA IMIDAZOLIDINYL UREA PARAFFIN HYDROCOLLOID SODIUM BENZOATE METHYLPARABEN PROPYLPARABEN SODIUM METABISULFITE BUTYLPARABEN
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2012-09-06 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	CARA-KLENZ KIT
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	CARRINGTON INCONTINENCE SKIN KIT
VA PRODUCT IDENTIFIER	C0574
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	KIT
MASTER ENTRY FOR VUID	YES
VUID	4010372
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2012-09-06 00:00:00 STATUS: INACTIVE