LANOLIN/MINERAL OIL 42.5%/PETROLATUM 55% (PF) OINT,OPH (8079)    VA PRODUCT (50.68)

Name Value
NAME LANOLIN/MINERAL OIL 42.5%/PETROLATUM 55% (PF) OINT,OPH
VA GENERIC NAME LANOLIN/MINERAL OIL/PETROLATUM
DOSAGE FORM OINT,OPH
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2015-05-22 00:00:00
DSS NUMBER 3
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 (PF) OPH OINT
VA PRODUCT IDENTIFIER L0117
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TUBE
MASTER ENTRY FOR VUID YES
VUID 4008554
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE