ATROPINE SO4 1%/PREDNISOLONE ACETATE 0.25% SUSP,OPH (4996)    VA PRODUCT (50.68)

Name Value
NAME ATROPINE SO4 1%/PREDNISOLONE ACETATE 0.25% SUSP,OPH
VA GENERIC NAME ATROPINE/PREDNISOLONE
DOSAGE FORM SUSP,OPH
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2003-08-01 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME ATROPINE/PREDNISOLONE SUSP,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
VA PRINT NAME ATROPINE 1/PREDNISOLON AC 0.25% OPH SUSP
VA PRODUCT IDENTIFIER A0466
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4005537
EFFECTIVE DATE/TIME
  • 2003-08-01 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE