GLUCOSE 40%/LANOLIN/PETROLATUM OINT,OPH (9630) VA PRODUCT (50.68)

Name	Value
NAME	GLUCOSE 40%/LANOLIN/PETROLATUM OINT,OPH
VA GENERIC NAME	GLUCOSE/LANOLIN/PARABENS/PETROLATUM
DOSAGE FORM	OINT,OPH
ACTIVE INGREDIENTS	LANOLIN,ANHYDROUS PETROLATUM,WHITE GLUCOSE STRENGTH: 40 UNITS: % PARABENS
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	40
INACTIVATION DATE	2007-09-20 00:00:00
UNITS	%
DSS NUMBER	1
NATIONAL FORMULARY NAME	GLUCOSE/LANOLIN/PARABENS/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	GLUCOSE 40% OPH OINT
VA PRODUCT IDENTIFIER	G0114
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TUBE
MASTER ENTRY FOR VUID	YES
VUID	4010043
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-20 00:00:00 STATUS: INACTIVE