| NAME |
ROSE BENGAL STRIP,OPH |
| VA GENERIC NAME |
ROSE BENGAL |
| DOSAGE FORM |
STRIP,OPH |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2016-06-29 00:00:00 |
| NATIONAL FORMULARY NAME |
ROSE BENGAL STRIP,OPH |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ROSE BENGAL OPH STRIP |
| VA PRODUCT IDENTIFIER |
R0300 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
STRIP |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4031645 |
| EFFECTIVE DATE/TIME |
-
- 2012-09-10 00:00:00
- STATUS: ACTIVE
|
