LATANOPROST 0.005%/NETARSUDIL 0.02% SOLN,OPH (29159) VA PRODUCT (50.68)

Name	Value
NAME	LATANOPROST 0.005%/NETARSUDIL 0.02% SOLN,OPH
VA GENERIC NAME	LATANOPROST/NETARSUDIL
DOSAGE FORM	SOLN,OPH
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	LATANOPROST STRENGTH: 0.005 UNITS: % NETARSUDIL STRENGTH: 0.02 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	LATANOPROST/NETARSUDIL SOLN,OPH
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	No Possible Dosages
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2019-04-04 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	LATANOPROST 0.005%/NETARSUDIL 0.02% OPH
VA PRODUCT IDENTIFIER	L0795
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4038290
EFFECTIVE DATE/TIME	2019-04-04 00:00:00 STATUS: ACTIVE