DEXTRAN-70,0.1%/HYDROXYPROPYL METHYLCELLULOSE 0.3% SOLN,OPH (8206) VA PRODUCT (50.68)

Name	Value
NAME	DEXTRAN-70,0.1%/HYDROXYPROPYL METHYLCELLULOSE 0.3% SOLN,OPH
VA GENERIC NAME	DEXTRAN 70/HYDROXYPROPYL METHYLCELLULOSE
DOSAGE FORM	SOLN,OPH
ACTIVE INGREDIENTS	HYDROXYPROPYL METHYLCELLULOSE STRENGTH: 0.3 UNITS: % SODIUM CHLORIDE EDTA STRENGTH: 0.05 UNITS: % DEXTRAN 70 STRENGTH: 0.1 UNITS: % BENZALKONIUM CHLORIDE STRENGTH: 0.01 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	0.3
INACTIVATION DATE	2007-02-12 00:00:00
UNITS	%
DSS NUMBER	2
NATIONAL FORMULARY NAME	DEXTRAN 70/HYDROXYPROPYL METHYLCELLULOSE 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	DEXTRAN-70/ME CELLULOSE 0.3% OPH SOLN
VA PRODUCT IDENTIFIER	D0282
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4008679
EFFECTIVE DATE/TIME	2002-10-22 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE 2005-03-10 00:00:00 STATUS: ACTIVE 2007-02-12 00:00:00 STATUS: INACTIVE