ACETIC AC 2%/ANTIPYRINE 5.4%/BENZOCAINE 1.4%/GLYCERIN SUSP,OTIC (7780) VA PRODUCT (50.68)

Name	Value
NAME	ACETIC AC 2%/ANTIPYRINE 5.4%/BENZOCAINE 1.4%/GLYCERIN SUSP,OTIC
VA GENERIC NAME	ACETIC ACID/ANTIPYRINE/BENZOCAINE/GLYCERIN
DOSAGE FORM	SUSP,OTIC
ACTIVE INGREDIENTS	ACETIC ACID,GLACIAL STRENGTH: 2 UNITS: % GLYCERIN STRENGTH: 9 UNITS: % ANTIPYRINE STRENGTH: 5.4 UNITS: % BENZOCAINE STRENGTH: 1.4 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ACETIC ACID/ANTIPYRINE/BENZOCAINE/GLYCERIN 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	ACETIC AC/ANTIPYRIN/BENZOCAINE OTIC SUSP
VA PRODUCT IDENTIFIER	A0495
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4008258
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE