GLYCERIN/PETROLATUM/ZINC OXIDE LOTION (9809) VA PRODUCT (50.68)

Name	Value
NAME	GLYCERIN/PETROLATUM/ZINC OXIDE LOTION
VA GENERIC NAME	GLYCERIN/PETROLATUM/ZINC OXIDE
DOSAGE FORM	LOTION
ACTIVE INGREDIENTS	MINERAL OIL PETROLATUM WATER CETYL ALCOHOL GLYCERIN ZINC OXIDE STEARIC ACID TRIETHANOLAMINE CETYL ACID ISOPARAFFIN
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	GLYCERIN/PETROLATUM/ZINC OXIDE LOTION
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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4010211
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE