DEXTRAN 70/HYDROXYPROPYL METHYLCELLULOSE SOLN,OPH (10010)    VA PRODUCT (50.68)

Name Value
NAME DEXTRAN 70/HYDROXYPROPYL METHYLCELLULOSE SOLN,OPH
VA GENERIC NAME DEXTRAN 70/HYDROXYPROPYL METHYLCELLULOSE
DOSAGE FORM SOLN,OPH
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-02-12 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME DEXTRAN 70/HYDROXYPROPYL METHYLCELLULOSE SOLN,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 ARTIFICIAL TEARS METHYLCELLULOSE
VA PRODUCT IDENTIFIER D0176
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4010400
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-02-12 00:00:00
    STATUS:   INACTIVE