COLISTIN 3MG/HC 1%/N-MYCIN 3.3MG/ML SUSP,OTIC (5274) VA PRODUCT (50.68)

Name	Value
NAME	COLISTIN 3MG/HC 1%/N-MYCIN 3.3MG/ML SUSP,OTIC
VA GENERIC NAME	COLISTIN/HYDROCORTISONE/NEOMYCIN
DOSAGE FORM	SUSP,OTIC
ACTIVE INGREDIENTS	COLISTIN SULFATE STRENGTH: 3 UNITS: MG/ML THONZONIUM BROMIDE STRENGTH: 0.05 UNITS: % HYDROCORTISONE ACETATE STRENGTH: 1 UNITS: % NEOMYCIN SULFATE STRENGTH: 3.3 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2009-11-17 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	COLISTIN/HYDROCORTISONE/NEOMYCIN SUSP,OTIC
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	COLISTIN 3/HC 1%/NEO 3.3MG/ML OTIC SUSP
VA PRODUCT IDENTIFIER	C0289
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4005810
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2009-11-17 00:00:00 STATUS: INACTIVE