ANTAZOLINE PO4 0.5%/NAPHAZOLINE HCL 0.05% SOLN,OPH (7446) VA PRODUCT (50.68)

Name	Value
NAME	ANTAZOLINE PO4 0.5%/NAPHAZOLINE HCL 0.05% SOLN,OPH
VA GENERIC NAME	ANTAZOLINE/NAPHAZOLINE
DOSAGE FORM	SOLN,OPH
ACTIVE INGREDIENTS	NAPHAZOLINE HYDROCHLORIDE STRENGTH: 0.05 UNITS: % ANTAZOLINE PHOSPHATE STRENGTH: 0.5 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ANTAZOLINE/NAPHAZOLINE SOLN,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	ANTAZOLINE 0.5/NAPHAZOLNE 0.05% OPH SOLN
VA PRODUCT IDENTIFIER	A0308
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4007950
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE