TETRAHYDROZOLINE HCL 0.05%/ZINC SULFATE 0.25% SOLN,OPH (8776) VA PRODUCT (50.68)

Name	Value
NAME	TETRAHYDROZOLINE HCL 0.05%/ZINC SULFATE 0.25% SOLN,OPH
VA GENERIC NAME	TETRAHYDROZOLINE/ZINC SULFATE
DOSAGE FORM	SOLN,OPH
ACTIVE INGREDIENTS	TETRAHYDROZOLINE HYDROCHLORIDE STRENGTH: 0.05 UNITS: % ZINC SULFATE STRENGTH: 0.25 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	1
NATIONAL FORMULARY NAME	TETRAHYDROZOLINE/ZINC SULFATE 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	TETRAHYDROZOL 0.05/ZN SO4 0.25% OPH SOLN
VA PRODUCT IDENTIFIER	T0016
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4009233
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE