DORZOLAMIDE HCL 2%/TIMOLOL MALEATE 0.5% SOLN,OPH (12852)    VA PRODUCT (50.68)

Name Value
NAME DORZOLAMIDE HCL 2%/TIMOLOL MALEATE 0.5% SOLN,OPH
VA GENERIC NAME DORZOLAMIDE/TIMOLOL
DOSAGE FORM SOLN,OPH
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2009-10-07 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME DORZOLAMIDE/TIMOLOL 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 DORZOLAMIDE 2/TIMOLOL 0.5% OPH SOLN
VA PRODUCT IDENTIFIER D0407
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4013217
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-09-17 00:00:00
    STATUS:   INACTIVE
  • 2009-10-01 00:00:00
    STATUS:   ACTIVE
  • 2009-10-07 00:00:00
    STATUS:   INACTIVE