ENUCLENE (FOR ARTIFICIAL EYES) DROPS (8066) VA PRODUCT (50.68)

Name	Value
NAME	ENUCLENE (FOR ARTIFICIAL EYES) DROPS
VA GENERIC NAME	BENZALKONIUM CHLORIDE/TYLOXAPOL
DOSAGE FORM	SOLN,OPH
ACTIVE INGREDIENTS	TYLOXAPOL STRENGTH: 0.25 UNITS: % BENZALKONIUM CHLORIDE STRENGTH: 0.02 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	1
NATIONAL FORMULARY NAME	BENZALKONIUM CHLORIDE/TYLOXAPOL 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	ENUCLENE FOR ARTIFICIAL EYES
VA PRODUCT IDENTIFIER	E0498
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4008542
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE