POLYSORBATE 80 1%/GLYCERIN 1% SOLN,OPH (21505)    VA PRODUCT (50.68)

Name Value
NAME POLYSORBATE 80 1%/GLYCERIN 1% SOLN,OPH
VA GENERIC NAME POLYSORBATE/GLYCERIN
DOSAGE FORM SOLN,OPH
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
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 1% SOLN,OPH
VA PRODUCT IDENTIFIER P0943
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4029659
EFFECTIVE DATE/TIME
  • 2010-03-09 00:00:00
    STATUS:   ACTIVE