LIGHT MINERAL OIL 0.5%/MINERAL OIL 0.5% SOLN,OPH,UD (28141) VA PRODUCT (50.68)

Name	Value
NAME	LIGHT MINERAL OIL 0.5%/MINERAL OIL 0.5% SOLN,OPH,UD
VA GENERIC NAME	MINERAL OIL
DOSAGE FORM	SOLN,OPH
HAZARDOUS TO DISPOSE	NO
DOT SHIPPING CODE
ACTIVE INGREDIENTS	MINERAL OIL STRENGTH: 0.5 UNITS: % MINERAL OIL,LIGHT STRENGTH: 0.5 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	MINERAL OIL SOLN,OPH
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2018-01-01 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	MINERAL OIL,LIGHT/MINERAL OIL OPH SOL UD
VA PRODUCT IDENTIFIER	M1183
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4037107
EFFECTIVE DATE/TIME	2017-12-01 00:00:00 STATUS: ACTIVE