MINERAL OIL,LIGHT,TOPICAL (26637)    VA PRODUCT (50.68)

Name Value
NAME MINERAL OIL,LIGHT,TOPICAL
VA GENERIC NAME MINERAL OIL
DOSAGE FORM OIL
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME MINERAL OIL OIL
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 MINERAL OIL,LIGHT TOPICAL
VA PRODUCT IDENTIFIER M1129
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4035473
EFFECTIVE DATE/TIME
  • 2016-03-10 00:00:00
    STATUS:   ACTIVE