PREDNISOLONE ACETATE 0.2%/SULFACETAMIDE NA 10% SOLN,OPH (3535) VA PRODUCT (50.68)

Name	Value
NAME	PREDNISOLONE ACETATE 0.2%/SULFACETAMIDE NA 10% SOLN,OPH
VA GENERIC NAME	PREDNISOLONE/SULFACETAMIDE
DOSAGE FORM	SOLN,OPH
ACTIVE INGREDIENTS	SODIUM THIOSULFATE POLYVINYL ALCOHOL STRENGTH: 1.4 UNITS: % POLYSORBATE 80 PREDNISOLONE ACETATE STRENGTH: 0.2 UNITS: % EDTA SULFACETAMIDE SODIUM STRENGTH: 10 UNITS: % BENZALKONIUM CHLORIDE
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-02-22 00:00:00
DSS NUMBER	11
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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4004098
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-02-22 00:00:00 STATUS: INACTIVE