MINERAL OIL,LIGHT,TOP,BTL,30ML (8674)    VA PRODUCT (50.68)

Name Value
NAME MINERAL OIL,LIGHT,TOP,BTL,30ML
VA GENERIC NAME MINERAL OIL
DOSAGE FORM OIL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 14
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 TOP BTL 30ML
VA PRODUCT IDENTIFIER M0276
TRANSMIT TO CMOP NO
VA DISPENSE UNIT BTL
MASTER ENTRY FOR VUID YES
VUID 4009132
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE