CONTACT LENS SALINE 0.9% PF STERILE SOLN (500)    VA PRODUCT (50.68)

Name Value
NAME CONTACT LENS SALINE 0.9% PF STERILE 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 55
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
VA PRINT NAME CONTACT LENS SALINE 0.9% PF STERILE SOLN
VA PRODUCT IDENTIFIER C0615
TRANSMIT TO CMOP YES
VA DISPENSE UNIT 360ML
MASTER ENTRY FOR VUID YES
VUID 4001113
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE