DEXAMETHASONE 0.1%/N-MYCIN 5MG/POLYMYX 10000UNT/ML SUSP,OPH (5003) VA PRODUCT (50.68)

Name	Value
NAME	DEXAMETHASONE 0.1%/N-MYCIN 5MG/POLYMYX 10000UNT/ML SUSP,OPH
VA GENERIC NAME	DEXAMETHASONE/NEOMYCIN/POLYMYXIN B
DOSAGE FORM	SUSP,OPH
ACTIVE INGREDIENTS	DEXAMETHASONE STRENGTH: 0.1 UNITS: % POLYMYXIN B SULFATE STRENGTH: 10000 UNITS: UNIT/ML NEOMYCIN SULFATE STRENGTH: 5 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2006-04-25 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	DEXAMETHASONE/NEOMYCIN/POLYMYXIN B 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	DEXAMETHASONE 0.1%/NEO/POLYMX OPH SUSP
VA PRODUCT IDENTIFIER	D0158
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4005544
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2006-04-25 00:00:00 STATUS: INACTIVE