TIMOLOL MALEATE 0.25% SOLN,OPH,0.3ML (13065) VA PRODUCT (50.68)

Name	Value
NAME	TIMOLOL MALEATE 0.25% SOLN,OPH,0.3ML
VA GENERIC NAME	TIMOLOL
DOSAGE FORM	SOLN,OPH
ACTIVE INGREDIENTS	TIMOLOL MALEATE STRENGTH: 0.25 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	0.25
UNITS	%
NATIONAL FORMULARY NAME	TIMOLOL SOLN,OPH
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00 COPAY END DATE: 2018-02-28 00:00:00 COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2018-03-01 00:00:00 COPAY END DATE: 2018-12-31 00:00:00 COPAY TIER LEVEL: 1 COPAY EFFECTIVE DATE: 2019-01-01 00:00:00 COPAY END DATE: 2019-12-31 00:00:00 COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2020-01-01 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	TIMOLOL MALEATE 0.25% OPH SOLN 0.3ML
VA PRODUCT IDENTIFIER	T0453
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	0.3ML EACH
MASTER ENTRY FOR VUID	YES
VUID	4013430
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-10-01 00:00:00 STATUS: INACTIVE