ACETIC ACID 2% SOLN,OTIC (4302) VA PRODUCT (50.68)

Name	Value
NAME	ACETIC ACID 2% SOLN,OTIC
VA GENERIC NAME	ACETIC ACID/BENZETHONIUM CHLORIDE/PROPYLENE GLYCOL
DOSAGE FORM	SOLN,OTIC
ACTIVE INGREDIENTS	BENZETHONIUM CHLORIDE STRENGTH: 0.02 UNITS: % PROPYLENE GLYCOL DIACETATE STRENGTH: 3 UNITS: % SODIUM ACETATE STRENGTH: 0.015 UNITS: % ACETIC ACID STRENGTH: 2 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	2
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2002-10-22 00:00:00
UNITS	%
DSS NUMBER	1
NATIONAL FORMULARY NAME	ACETIC ACID/BENZETHONIUM CHLORIDE/PROPYLENE GLYCOL 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% OTIC SOLN
VA PRODUCT IDENTIFIER	A0055
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	NO
VUID	4004854
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2002-10-22 00:00:00 STATUS: INACTIVE