RIBOFLAVIN 5-PHOSHATE 0.146% SOLN,OPH,SYR (31162)    VA PRODUCT (50.68)

Name Value
NAME RIBOFLAVIN 5-PHOSHATE 0.146% SOLN,OPH,SYR
VA GENERIC NAME RIBOFLAVIN
DOSAGE FORM SOLN,OPH
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
STRENGTH 0.146
UNITS %
NATIONAL FORMULARY NAME RIBOFLAVIN 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:   2021-05-28 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME RIBOFLAVIN 5-PHOS 0.146% OPH SOLN SYR
VA PRODUCT IDENTIFIER R0431
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4040519
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