PETROLATUM,HYDROPHILIC OINT,TOP (9009) VA PRODUCT (50.68)

Name	Value
NAME	PETROLATUM,HYDROPHILIC OINT,TOP
VA GENERIC NAME	CHOLESTEROL/PETROLATUM/STEARYL ALCOHOL/WAX
DOSAGE FORM	OINT,TOP
ACTIVE INGREDIENTS	STEARYL ALCOHOL STRENGTH: 3 UNITS: % CHOLESTEROL STRENGTH: 3 UNITS: % PETROLATUM,WHITE STRENGTH: 86 UNITS: % WAX,WHITE STRENGTH: 8 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	2
NATIONAL FORMULARY NAME	CHOLESTEROL/PETROLATUM/STEARYL ALCOHOL/WAX OINT,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
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	HYDROPHILIC OINT
VA PRODUCT IDENTIFIER	H0071
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4009451
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-24 00:00:00 STATUS: INACTIVE 2007-10-10 00:00:00 STATUS: ACTIVE