GLYCERIN/MINERAL OIL/PETROLATUM CREAM,TOP (9931) VA PRODUCT (50.68)

Name	Value
NAME	GLYCERIN/MINERAL OIL/PETROLATUM CREAM,TOP
VA GENERIC NAME	GLYCERIN/MINERAL OIL/PETROLATUM
DOSAGE FORM	CREAM,TOP
ACTIVE INGREDIENTS	MINERAL OIL DIMETHICONE PETROLATUM,WHITE GLYCERIN
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	1
NATIONAL FORMULARY NAME	GLYCERIN/MINERAL OIL/PETROLATUM CREAM,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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4010324
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE