POLYVINYL ALCOHOL 2.7%/POVIDONE 2% SOLN,OPH (18269) VA PRODUCT (50.68)

Name	Value
NAME	POLYVINYL ALCOHOL 2.7%/POVIDONE 2% SOLN,OPH
VA GENERIC NAME	POLYVINYL ALCOHOL/POVIDONE
DOSAGE FORM	SOLN,OPH
ACTIVE INGREDIENTS	POLYVINYL ALCOHOL STRENGTH: 2.7 UNITS: % POVIDONE STRENGTH: 2 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	POLYVINYL ALCOHOL/POVIDONE 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	POLYVINYL ALCOH 2.7/POVIDONE 2% OPH SOLN
VA PRODUCT IDENTIFIER	P0795
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4026019
EFFECTIVE DATE/TIME	2007-04-25 00:00:00 STATUS: ACTIVE