SULFACETAMIDE NA 30% SOLN,OPH (3522)    VA PRODUCT (50.68)

Name Value
NAME SULFACETAMIDE NA 30% SOLN,OPH
VA GENERIC NAME SULFACETAMIDE
DOSAGE FORM SOLN,OPH
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 30
INACTIVATION DATE 2008-07-02 00:00:00
UNITS %
DSS NUMBER 5
NATIONAL FORMULARY NAME SULFACETAMIDE SOLN,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 SULFACETAMIDE NA 30% OPH SOLN
VA PRODUCT IDENTIFIER S0111
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4004085
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-25 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2008-07-02 00:00:00
    STATUS:   INACTIVE