GLYCERIN 0.25%/NAPHAZOLINE HCL 0.012% SOLN,OPH (20706)    VA PRODUCT (50.68)

Name Value
NAME GLYCERIN 0.25%/NAPHAZOLINE HCL 0.012% SOLN,OPH
VA GENERIC NAME GLYCERIN/NAPHAZOLINE
DOSAGE FORM SOLN,OPH
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2021-03-15 00:00:00
NATIONAL FORMULARY NAME GLYCERIN/NAPHAZOLINE 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 GLYCERIN 0.25/NAPHAZOLINE 0.012% OPH SOL
VA PRODUCT IDENTIFIER G0324
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4028745
EFFECTIVE DATE/TIME
  • 2009-07-09 00:00:00
    STATUS:   ACTIVE
  • 2021-03-15 00:00:00
    STATUS:   INACTIVE
  • 2021-03-15 00:00:00
    STATUS:   INACTIVE
  • 2021-03-15 00:00:00
    STATUS:   INACTIVE