CARBOXYMETHYLCELLOSE NA 0.5%/GLYCERIN 0.9% (PF) SOLN,OPH,0.4ML (24292)    VA PRODUCT (50.68)

Name Value
NAME CARBOXYMETHYLCELLOSE NA 0.5%/GLYCERIN 0.9% (PF) SOLN,OPH,0.4ML
VA GENERIC NAME CARBOXYMETHYLCELLULOSE/GLYCERIN
DOSAGE FORM SOLN,OPH
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME CARBOXYMETHYLCELLULOSE/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 CARBOXYMETH 0.5/GLYC 0.9% OPH SOLN 0.4ML
VA PRODUCT IDENTIFIER C1598
TRANSMIT TO CMOP YES
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4032846
EFFECTIVE DATE/TIME
  • 2013-11-18 00:00:00
    STATUS:   ACTIVE