LISSAMINE GREEN 1.5MG STRIP,OPH (17917)    VA PRODUCT (50.68)

Name Value
NAME LISSAMINE GREEN 1.5MG STRIP,OPH
VA GENERIC NAME LISSAMINE GREEN
DOSAGE FORM STRIP,OPH
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1.5
INACTIVATION DATE 2020-12-15 00:00:00
UNITS MG
NATIONAL FORMULARY NAME LISSAMINE GREEN STRIP,OPH
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME LISSAMINE GREEN 1.5MG OPH STRIP
VA PRODUCT IDENTIFIER L0380
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4025619
EFFECTIVE DATE/TIME
  • 2006-10-11 00:00:00
    STATUS:   ACTIVE
  • 2012-08-01 00:00:00
    STATUS:   INACTIVE
  • 2012-08-01 00:00:00
    STATUS:   INACTIVE
  • 2020-12-15 00:00:00
    STATUS:   INACTIVE
  • 2020-12-15 00:00:00
    STATUS:   INACTIVE
  • 2020-12-15 00:00:00
    STATUS:   INACTIVE