| NAME |
FLUOROMETHOLONE 0.1%/SULFACETAMIDE NA 10% SUSP,OPH |
| VA GENERIC NAME |
FLUOROMETHOLONE/SULFACETAMIDE |
| DOSAGE FORM |
SUSP,OPH |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2009-11-17 00:00:00 |
| DSS NUMBER |
1 |
| NATIONAL FORMULARY NAME |
FLUOROMETHOLONE/SULFACETAMIDE SUSP,OPH |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
FLUOROMETHOLON 0.1/SULFACET 10% OPH SUSP |
| VA PRODUCT IDENTIFIER |
F0102 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4009250 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2009-11-17 00:00:00
- STATUS: INACTIVE
|
