HYALURONATE NA 18MG/ML INJ,OPH,SYRINGE,0.85ML (31154)    VA PRODUCT (50.68)

Name Value
NAME HYALURONATE NA 18MG/ML INJ,OPH,SYRINGE,0.85ML
VA GENERIC NAME HYALURONATE SODIUM
DOSAGE FORM INJ
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 14
INACTIVATION DATE 2023-01-17 00:00:00
UNITS MG/ML
NATIONAL FORMULARY NAME HYALURONATE SODIUM INJ
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2021-05-28 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME HYALURONATE NA 18MG/ML OPH SYR 0.85ML
VA PRODUCT IDENTIFIER H0762
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4040506
EFFECTIVE DATE/TIME
  • 2021-05-28 00:00:00
    STATUS:   ACTIVE
  • 2021-05-28 00:00:00
    STATUS:   ACTIVE
  • 2021-05-28 00:00:00
    STATUS:   ACTIVE
  • 2023-01-17 00:00:00
    STATUS:   INACTIVE