PREDNISOLONE NA PHOSPHATE 0.5%/SULFACETAMIDE NA 10% SOLN,OPH (3529)    VA PRODUCT (50.68)

Name Value
NAME PREDNISOLONE NA PHOSPHATE 0.5%/SULFACETAMIDE NA 10% SOLN,OPH
VA GENERIC NAME PREDNISOLONE/SULFACETAMIDE
DOSAGE FORM SOLN,OPH
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-25 00:00:00
DSS NUMBER 5
NATIONAL FORMULARY NAME PREDNISOLONE/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 PREDNISOLON NA 0.5/SULFACET 10% OPH SOLN
VA PRODUCT IDENTIFIER P0281
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4004092
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-25 00:00:00
    STATUS:   INACTIVE