DEXTRAN 70/HYPROMELLOSE 0.3% (PF) SOLN,OPH,0.6ML (16838) VA PRODUCT (50.68)

Name	Value
NAME	DEXTRAN 70/HYPROMELLOSE 0.3% (PF) SOLN,OPH,0.6ML
VA GENERIC NAME	DEXTRAN 70/HYPROMELLOSE
DOSAGE FORM	SOLN,OPH
ACTIVE INGREDIENTS	HYDROXYPROPYL METHYLCELLULOSE STRENGTH: 0.3 UNITS: % DEXTRAN 70 STRENGTH: 0.1 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-11-03 00:00:00
NATIONAL FORMULARY NAME	DEXTRAN 70/HYPROMELLOSE 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	DEXTRAN 70/HYPROMELLOSE 0.3% (PF) 0.6ML
VA PRODUCT IDENTIFIER	D0637
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	0.6ML EACH
MASTER ENTRY FOR VUID	YES
VUID	4017201
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-11-03 00:00:00 STATUS: INACTIVE