NAPHAZOLINE HCL 0.0268%/PHENIRAMINE 0.315% SOLN,OPH (22005)    VA PRODUCT (50.68)

Name Value
NAME NAPHAZOLINE HCL 0.0268%/PHENIRAMINE 0.315% SOLN,OPH
VA GENERIC NAME NAPHAZOLINE/PHENIRAMINE
DOSAGE FORM SOLN,OPH
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME NAPHAZOLINE/PHENIRAMINE 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 NAPHAZOLI 0.0268/PHENIRAM 0.315% OPH SLN
VA PRODUCT IDENTIFIER N0629
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4030236
EFFECTIVE DATE/TIME
  • 2010-11-09 00:00:00
    STATUS:   ACTIVE