ENZYMATIC CLEANER (SUBTILISIN A) TAB,OPH,EFFERVSC (10107)    VA PRODUCT (50.68)

Name Value
NAME ENZYMATIC CLEANER (SUBTILISIN A) TAB,OPH,EFFERVSC
VA GENERIC NAME ENZYMATIC CLEANER
DOSAGE FORM TAB,EFFERVSC
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-18 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME SUBTILISIN A TAB,EFFERVSC
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 4010490
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-18 00:00:00
    STATUS:   INACTIVE