PREDNISOLONE ACETATE 0.2%/SULFACETAMIDE NA 20% SUSP,OPH (3532)    VA PRODUCT (50.68)

Name Value
NAME PREDNISOLONE ACETATE 0.2%/SULFACETAMIDE NA 20% SUSP,OPH
VA GENERIC NAME PREDNISOLONE/SULFACETAMIDE
DOSAGE FORM SUSP,OPH
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-25 00:00:00
DSS NUMBER 8
NATIONAL FORMULARY NAME PREDNISOLONE/SULFACETAMIDE SUSP,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 0.2/SULFACET 20% OPH SUSP
VA PRODUCT IDENTIFIER P0277
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4004095
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-25 00:00:00
    STATUS:   INACTIVE