DESOXYRIBONUCLEASE 666.6UNT/FIBRINOLYSIN 1UNT/GM OINT,TOP (5290) VA PRODUCT (50.68)

Name	Value
NAME	DESOXYRIBONUCLEASE 666.6UNT/FIBRINOLYSIN 1UNT/GM OINT,TOP
VA GENERIC NAME	DESOXYRIBONUCLEASE/FIBRINOLYSIN
DOSAGE FORM	OINT,TOP
ACTIVE INGREDIENTS	MINERAL OIL DESOXYRIBONUCLEASE STRENGTH: 666.6 UNITS: UNIT/GM FIBRINOLYSIN STRENGTH: 1 UNITS: UNIT/GM POLYETHYLENE THIMEROSAL
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2000-10-27 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	DESOXYRIBONUCLEASE/FIBRINOLYSIN OINT,TOP
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	ELASE OINT
VA PRODUCT IDENTIFIER	D0032
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4005826
EFFECTIVE DATE/TIME	2000-10-27 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE