ICHTHAMMOL 20%/LANOLIN/PETROLATUM OINT,TOP (9597)    VA PRODUCT (50.68)

Name Value
NAME ICHTHAMMOL 20%/LANOLIN/PETROLATUM OINT,TOP
VA GENERIC NAME ICHTHAMMOL/LANOLIN/PETROLATUM
DOSAGE FORM OINT,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 20
INACTIVATION DATE 2000-03-16 00:00:00
UNITS %
DSS NUMBER 2
NATIONAL FORMULARY NAME ICHTHAMMOL/LANOLIN/PETROLATUM 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 ICHTHAMMOL 20% OINT
VA PRODUCT IDENTIFIER I0101
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4010012
EFFECTIVE DATE/TIME
  • 2000-03-16 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE