| NAME |
CARBOXYMETHYLCELLULOSE NA 0.25% SOLN,OPH,0.6ML |
| VA GENERIC NAME |
CARBOXYMETHYLCELLULOSE SODIUM |
| DOSAGE FORM |
SOLN,OPH |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
0.25 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
% |
| NATIONAL FORMULARY NAME |
CARBOXYMETHYLCELLULOSE SODIUM SOLN,OPH |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
- COPAY END DATE: 2020-12-31 00:00:00
-
- COPAY TIER LEVEL: 1
- COPAY EFFECTIVE DATE: 2021-01-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
CARBOXYMETHYLCELLULOSE NA 0.25% OPH SOLN |
| VA PRODUCT IDENTIFIER |
C1016 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
0.6ML EACH |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4015555 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
|
