DEXTRAN 0.1%/HYPROMELLOSE 0.8% (OCUCOAT) SOLN,OPH (18176)    VA PRODUCT (50.68)

Name Value
NAME DEXTRAN 0.1%/HYPROMELLOSE 0.8% (OCUCOAT) SOLN,OPH
VA GENERIC NAME DEXTRAN 70/HYPROMELLOSE
DOSAGE FORM SOLN,OPH
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2011-05-26 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 OCUCOAT OPH SOLN
VA PRODUCT IDENTIFIER D0741
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4025920
EFFECTIVE DATE/TIME
  • 2007-03-01 00:00:00
    STATUS:   ACTIVE
  • 2011-05-26 00:00:00
    STATUS:   INACTIVE