| NAME |
DEXTRAN-70 0.1%/HYDROXYPROPYL METHYCLELLULOS 0.8% SLN,OPH,0.5ML |
| VA GENERIC NAME |
DEXTRAN 70/HYDROXYPROPYL METHYLCELLULOSE |
| DOSAGE FORM |
SOLN,TOP |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2007-02-12 00:00:00 |
| NATIONAL FORMULARY NAME |
DEXTRAN 70/HYDROXYPROPYL METHYLCELLULOSE SOLN,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
DEXTRAN-70/HY CELLULOSE 0.8% OPH 0.5ML |
| VA PRODUCT IDENTIFIER |
D0537 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4015323 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2007-02-12 00:00:00
- STATUS: INACTIVE
|
