GLYCERIN 0.25% SOLN,OPH (4491)    VA PRODUCT (50.68)

Name Value
NAME GLYCERIN 0.25% SOLN,OPH
VA GENERIC NAME GLYCERIN
DOSAGE FORM SOLN,OPH
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.25
UNITS %
DSS NUMBER 11
NATIONAL FORMULARY NAME GLYCERIN 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 4005038
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2005-04-19 00:00:00
    STATUS:   INACTIVE
  • 2022-08-15 00:00:00
    STATUS:   ACTIVE