PREDNISOLONE ACETATE 0.25%/SULFACETAMIDE NA 10% OINT,OPH (3527) VA PRODUCT (50.68)

Name	Value
NAME	PREDNISOLONE ACETATE 0.25%/SULFACETAMIDE NA 10% OINT,OPH
VA GENERIC NAME	PREDNISOLONE/SULFACETAMIDE
DOSAGE FORM	OINT,OPH
ACTIVE INGREDIENTS	PREDNISOLONE ACETATE STRENGTH: 0.25 UNITS: % SULFACETAMIDE SODIUM STRENGTH: 10 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-02-22 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	PREDNISOLONE/SULFACETAMIDE 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	PREDNISOLON AC 0.25/SULFACE 10% OPH OINT
VA PRODUCT IDENTIFIER	P0359
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TUBE
MASTER ENTRY FOR VUID	YES
VUID	4004090
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-02-22 00:00:00 STATUS: INACTIVE