| NAME |
DEXAMETHASONE 0.05%/TOBRAMYCIN 0.3% SUSP,OPH |
| VA GENERIC NAME |
DEXAMETHASONE/TOBRAMYCIN |
| DOSAGE FORM |
SUSP,OPH |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
DEXAMETHASONE/TOBRAMYCIN SUSP,OPH |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
DEXAMETHASONE 0.05/TOBRAMY 0.3% OPH SUSP |
| VA PRODUCT IDENTIFIER |
D0873 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4030261 |
| EFFECTIVE DATE/TIME |
-
- 2010-12-03 00:00:00
- STATUS: ACTIVE
|
