PALADIN DIAPER RASH OINT,TOP (9947) VA PRODUCT (50.68)

Name	Value
NAME	PALADIN DIAPER RASH OINT,TOP
VA GENERIC NAME	BORIC ACID/VITAMIN A/VITAMIN D/ZINC OXIDE
DOSAGE FORM	OINT,TOP
ACTIVE INGREDIENTS	MINERAL OIL PETROLATUM LANOLIN STARCH ZINC OXIDE VITAMIN A VITAMIN D BEESWAX BORIC ACID
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-10-01 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BORIC ACID/VITAMIN A/VITAMIN D/ZINC OXIDE 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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4010339
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-10-01 00:00:00 STATUS: INACTIVE