PETROLATUM,HYDROPHYLIC SOAP,TOP (8228)    VA PRODUCT (50.68)

Name Value
NAME PETROLATUM,HYDROPHYLIC SOAP,TOP
VA GENERIC NAME PETROLATUM
DOSAGE FORM BAR,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-24 00:00:00
DSS NUMBER 2
NATIONAL FORMULARY NAME PETROLATUM BAR,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
    COPAY END DATE:   2017-06-30 00:00:00
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-07-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME HYDROPHILIC BAR SOAP
VA PRODUCT IDENTIFIER P0038
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4008700
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-24 00:00:00
    STATUS:   INACTIVE
  • 2007-09-24 00:00:00
    STATUS:   INACTIVE