CHLORAMPHENICOL 0.25%/HYDROCORTISONE ACETATE 0.5% SUSP,OPH (5275) VA PRODUCT (50.68)

Name	Value
NAME	CHLORAMPHENICOL 0.25%/HYDROCORTISONE ACETATE 0.5% SUSP,OPH
VA GENERIC NAME	CHLORAMPHENICOL/HYDROCORTISONE
DOSAGE FORM	SUSP,OPH
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	CHOLESTEROL BENZETHONIUM CHLORIDE STRENGTH: 0.01 UNITS: % HYDROCORTISONE ACETATE STRENGTH: 0.5 UNITS: % METHYLCELLULOSE CHLORAMPHENICOL STRENGTH: 0.25 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-05-24 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CHLORAMPHENICOL/HYDROCORTISONE 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	CHLORAMPHENICOL 0.25/HC 0.5% OPH SUSP
VA PRODUCT IDENTIFIER	C0378
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4005811
EFFECTIVE DATE/TIME	2002-05-24 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE