DOUVISC,KIT 0.5ML/0.55ML INJ,OPH (14458)    VA PRODUCT (50.68)

Name Value
NAME DOUVISC,KIT 0.5ML/0.55ML INJ,OPH
VA GENERIC NAME HYALURONATE SODIUM
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2001-10-16 00:00:00
NATIONAL FORMULARY NAME HYALURONATE SODIUM INJ
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 DOUVISC,KIT 0.5ML/0.55ML INJ,OPH
VA PRODUCT IDENTIFIER D0519
TRANSMIT TO CMOP NO
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4014822
EFFECTIVE DATE/TIME
  • 2001-10-16 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE