POLYVINYL ALCOHOL 0.5% SOLN,OPH (13366)    VA PRODUCT (50.68)

Name Value
NAME POLYVINYL ALCOHOL 0.5% SOLN,OPH
VA GENERIC NAME POLYVINYL ALCOHOL
DOSAGE FORM SOLN,OPH
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.5
INACTIVATION DATE 2007-09-25 00:00:00
UNITS %
NATIONAL FORMULARY NAME POLYVINYL ALCOHOL 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 POLYVINYL ALCOHOL 0.5% OPH SOLN
VA PRODUCT IDENTIFIER P0525
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4013731
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-25 00:00:00
    STATUS:   INACTIVE