HC 1%/N-MYCIN 5MG/POLYMYX 10000UNT/GM OINT,OPH (4893) VA PRODUCT (50.68)

Name	Value
NAME	HC 1%/N-MYCIN 5MG/POLYMYX 10000UNT/GM OINT,OPH
VA GENERIC NAME	HYDROCORTISONE/NEOMYCIN/POLYMYXIN B
DOSAGE FORM	OINT,OPH
ACTIVE INGREDIENTS	HYDROCORTISONE STRENGTH: 1 UNITS: % POLYMYXIN B SULFATE STRENGTH: 10000 UNITS: UNIT/GM NEOMYCIN SULFATE STRENGTH: 5 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-30 00:00:00
DSS NUMBER	8
NATIONAL FORMULARY NAME	HYDROCORTISONE/NEOMYCIN/POLYMYXIN B OINT,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	4005435
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-30 00:00:00 STATUS: INACTIVE