MINERAL OIL 42.5%/PETROLATUM 55.5% OINT,OPH (8911)    VA PRODUCT (50.68)

Name Value
NAME MINERAL OIL 42.5%/PETROLATUM 55.5% OINT,OPH
VA GENERIC NAME MINERAL OIL/PETROLATUM
DOSAGE FORM OINT,OPH
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2015-05-22 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME 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 4009363
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE