N-MYCIN 0.35%/POLYMYX 10000UNT/ML/PREDNISOLONE 0.5% SUSP,OPH (3536) VA PRODUCT (50.68)

Name	Value
NAME	N-MYCIN 0.35%/POLYMYX 10000UNT/ML/PREDNISOLONE 0.5% SUSP,OPH
VA GENERIC NAME	NEOMYCIN/POLYMYXIN B/PREDNISOLONE
DOSAGE FORM	SUSP,OPH
ACTIVE INGREDIENTS	PREDNISOLONE ACETATE STRENGTH: 0.5 UNITS: % POLYMYXIN B SULFATE STRENGTH: 10000 UNITS: UNIT/ML NEOMYCIN SULFATE STRENGTH: 0.35 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	1
NATIONAL FORMULARY NAME	NEOMYCIN/POLYMYXIN B/PREDNISOLONE 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	NEO/POLYMYX/PREDNISOLONE 0.5% OPH SUSP
VA PRODUCT IDENTIFIER	N0122
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4004099
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE