BENOXINATE HCL 0.4%/FLUORESCEIN NA 0.3% SOLN,OPH (30988)    VA PRODUCT (50.68)

Name Value
NAME BENOXINATE HCL 0.4%/FLUORESCEIN NA 0.3% SOLN,OPH
VA GENERIC NAME BENOXINATE/FLUORESCEIN
DOSAGE FORM SOLN,OPH
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME BENOXINATE/FLUORESCEIN SOLN,OPH
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2021-04-08 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BENOXINATE 0.4/FLUORESCEI 0.3% OPH SOLN
VA PRODUCT IDENTIFIER B0915
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4040329
EFFECTIVE DATE/TIME
  • 2021-04-08 00:00:00
    STATUS:   ACTIVE
  • 2021-04-08 00:00:00
    STATUS:   ACTIVE
  • 2021-04-08 00:00:00
    STATUS:   ACTIVE