POLYVINYL ALCOHOL 1.4%/NACL SOLN,OPH (8710) VA PRODUCT (50.68)

Name	Value
NAME	POLYVINYL ALCOHOL 1.4%/NACL SOLN,OPH
VA GENERIC NAME	POLYVINYL ALCOHOL
DOSAGE FORM	SOLN,OPH
ACTIVE INGREDIENTS	POLYVINYL ALCOHOL STRENGTH: 1.4 UNITS: % SODIUM CHLORIDE CHLOROBUTANOL STRENGTH: 0.5 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2019-10-23 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	POLYVINYL ALCOHOL 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	ARTIFICIAL TEARS POLYVINYL ALCOHOL
VA PRODUCT IDENTIFIER	P0077
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	NO
VUID	4009167
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2002-10-22 00:00:00 STATUS: INACTIVE 2019-10-23 00:00:00 STATUS: INACTIVE