LANOLIN/MINERAL OIL 42.5%/PETROLATUM 55% OINT,OPH (8078) VA PRODUCT (50.68)

Name	Value
NAME	LANOLIN/MINERAL OIL 42.5%/PETROLATUM 55% OINT,OPH
VA GENERIC NAME	LANOLIN/MINERAL OIL/PETROLATUM
DOSAGE FORM	OINT,OPH
ACTIVE INGREDIENTS	MINERAL OIL STRENGTH: 42.5 UNITS: % LANOLIN PETROLATUM,WHITE STRENGTH: 55 UNITS: % CHLOROBUTANOL STRENGTH: 0.5 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2015-05-22 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	LANOLIN/MINERAL OIL/PETROLATUM OINT,OPH
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	LUBRICATING OPH OINT
VA PRODUCT IDENTIFIER	L0118
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TUBE
MASTER ENTRY FOR VUID	YES
VUID	4008553
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE