GLYCEROL,IODINATED 60MG/5ML ELIXIR (4312)    VA PRODUCT (50.68)

Name Value
NAME GLYCEROL,IODINATED 60MG/5ML ELIXIR
VA GENERIC NAME GLYCEROL,IODINATED
DOSAGE FORM ELIXIR
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 60
INACTIVATION DATE 2002-04-04 00:00:00
UNITS MG/5ML
DSS NUMBER 4
NATIONAL FORMULARY NAME GLYCEROL,IODINATED ELIXIR
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 IODINATED GLYCEROL 60MG/5ML ELIXIR
VA PRODUCT IDENTIFIER G0026
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID NO
VUID 4004864
EFFECTIVE DATE/TIME
  • 2002-04-04 00:00:00
    STATUS:   INACTIVE
  • 2005-12-06 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE