GLYCERIN 0.6%/PROPYLENE GLYCOL 0.6% SOLN,OPH (22993) VA PRODUCT (50.68)

Name	Value
NAME	GLYCERIN 0.6%/PROPYLENE GLYCOL 0.6% SOLN,OPH
VA GENERIC NAME	GLYCERIN/PROPYLENE GLYCOL
DOSAGE FORM	SOLN,OPH
ACTIVE INGREDIENTS	PROPYLENE GLYCOL STRENGTH: 0.6 UNITS: % GLYCERIN STRENGTH: 0.6 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	GLYCERIN/PROPYLENE GLYCOL 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 0.6%/PROP GLYCOL 0.6% OPH SOLN
VA PRODUCT IDENTIFIER	G0373
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	PKG
MASTER ENTRY FOR VUID	YES
VUID	4031377
EFFECTIVE DATE/TIME	2012-04-06 00:00:00 STATUS: ACTIVE