| Name | Value |
|---|---|
| NAME | LIP BALM,PETROLATUM |
| VA GENERIC NAME | PETROLATUM |
| DOSAGE FORM | STICK,TOP |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY NAME | PETROLATUM STICK,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| PGX ELIGIBLE | NO |
| PGX SUPPRESSED | NO |
| VA PRINT NAME | LIP BALM,PETROLATUM |
| VA PRODUCT IDENTIFIER | L0423 |
| TRANSMIT TO CMOP | NO |
| VA DISPENSE UNIT | EA |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4027025 |
| EFFECTIVE DATE/TIME |
|