POLYVINYL ALCOHOL 1.4%/POVIDONE SOLN,OPH (8712) VA PRODUCT (50.68)

Name	Value
NAME	POLYVINYL ALCOHOL 1.4%/POVIDONE SOLN,OPH
VA GENERIC NAME	POLYVINYL ALCOHOL/POVIDONE
DOSAGE FORM	SOLN,OPH
ACTIVE INGREDIENTS	POLYVINYL ALCOHOL STRENGTH: 1.4 UNITS: % SODIUM CHLORIDE POVIDONE STRENGTH: 0.6 UNITS: % CHLOROBUTANOL STRENGTH: 0.5 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2018-07-16 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	POLYVINYL ALCOHOL/POVIDONE 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 PVA 1.4%/POVIDONE
VA PRODUCT IDENTIFIER	A0566
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	NO
VUID	4009169
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2004-11-19 00:00:00 STATUS: INACTIVE 2018-07-16 00:00:00 STATUS: INACTIVE