NIVEA SKIN OIL (10240) VA PRODUCT (50.68)

Name	Value
NAME	NIVEA SKIN OIL
VA GENERIC NAME	NIVEA
DOSAGE FORM	OIL,TOP
ACTIVE INGREDIENTS	METHYCLOTHIAZIDE MINERAL OIL SIMETHICONE LANOLIN CETEARYL ALCOHOL GLYCERYL STEARATE METHYLISOTHIAZOLINONE ISOPROPYL MYRISTATE
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	1
NATIONAL FORMULARY NAME	NIVEA OIL,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	NIVEA SKIN OIL
VA PRODUCT IDENTIFIER	N0266
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4010614
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE