POLYSORBATE 80 1%/GLYCERIN 1% SOLN,OPH,0.4ML (18451)    VA PRODUCT (50.68)

Name Value
NAME POLYSORBATE 80 1%/GLYCERIN 1% SOLN,OPH,0.4ML
VA GENERIC NAME POLYSORBATE/GLYCERIN
DOSAGE FORM SOLN,OPH
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2017-02-14 00:00:00
NATIONAL FORMULARY NAME POLYSORBATE/GLYCERIN 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 POLYSORBATE 80 1%/GLYCERIN OPH SOL 0.4ML
VA PRODUCT IDENTIFIER P0843
TRANSMIT TO CMOP YES
VA DISPENSE UNIT 0.4ML EA
MASTER ENTRY FOR VUID YES
VUID 4026251
EFFECTIVE DATE/TIME
  • 2007-08-30 00:00:00
    STATUS:   ACTIVE