CHLORAMPHENICOL 1%/HC 0.5%/POLYMYX 10000UNT/GM OINT,OPH (5273) VA PRODUCT (50.68)

Name	Value
NAME	CHLORAMPHENICOL 1%/HC 0.5%/POLYMYX 10000UNT/GM OINT,OPH
VA GENERIC NAME	CHLORAMPHENICOL/HYDROCORTISONE/POLYMYXIN B
DOSAGE FORM	OINT,OPH
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	HYDROCORTISONE ACETATE STRENGTH: 0.5 UNITS: % POLYMYXIN B SULFATE STRENGTH: 10000 UNITS: UNIT/GM CHLORAMPHENICOL STRENGTH: 1 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-05-24 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CHLORAMPHENICOL/HYDROCORTISONE/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	4005809
EFFECTIVE DATE/TIME	2002-05-24 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE