CONTACT LENS SALINE 0.9% SOLN (495)    VA PRODUCT (50.68)

Name Value
NAME CONTACT LENS SALINE 0.9% SOLN
VA GENERIC NAME SODIUM CHLORIDE
DOSAGE FORM SOLN,CONTACT LENS
FORMULARY DESIGNATOR PA-F
FORMULARY DESIGNATOR TEXT
Restricted to veterans who receive their contact lens from the VA
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.9
INACTIVATION DATE 2007-09-19 00:00:00
UNITS %
DSS NUMBER 50
NATIONAL FORMULARY NAME SODIUM CHLORIDE SOLN
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4001108
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE