B-TRACIN 400UNT/N-MYCIN 3.5MG/POLYMYX 10000UNT/GM OINT,OPH (2968) VA PRODUCT (50.68)

Name	Value
NAME	B-TRACIN 400UNT/N-MYCIN 3.5MG/POLYMYX 10000UNT/GM OINT,OPH
VA GENERIC NAME	BACITRACIN/NEOMYCIN/POLYMYXIN B
DOSAGE FORM	OINT,OPH
ACTIVE INGREDIENTS	POLYMYXIN B SULFATE STRENGTH: 10000 UNITS: UNIT/GM BACITRACIN ZINC STRENGTH: 400 UNITS: UNIT/GM BACITRACIN STRENGTH: 400 UNITS: UNIT/GM NEOMYCIN SULFATE STRENGTH: 3.5 UNITS: MG/GM
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2004-11-18 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	BACITRACIN/NEOMYCIN/POLYMYXIN B OINT,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	BACITRACIN/NEOMYCIN/POLYMYXIN OPH OINT
VA PRODUCT IDENTIFIER	B0247
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TUBE
MASTER ENTRY FOR VUID	NO
VUID	4003547
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2004-11-18 00:00:00 STATUS: INACTIVE