ACETIC ACID 2%/ALUMINUM ACETATE 10.79% SOLN,OTIC (3815) VA PRODUCT (50.68)

Name	Value
NAME	ACETIC ACID 2%/ALUMINUM ACETATE 10.79% SOLN,OTIC
VA GENERIC NAME	ACETIC ACID/ALUMINUM ACETATE
DOSAGE FORM	SOLN,OTIC
ACTIVE INGREDIENTS	ACETIC ACID STRENGTH: 2 UNITS: % ALUMINUM ACETATE STRENGTH: 10.79 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2009-03-24 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ACETIC ACID/ALUMINUM ACETATE SOLN,OTIC
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	ACETIC ACID 2/ALUM ACET 10.79% OTIC SOLN
VA PRODUCT IDENTIFIER	A0056
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4004372
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2009-03-24 00:00:00 STATUS: INACTIVE