HYALURONATE NA 30MG/ML INJ,OPH,SYRINGE,0.65ML (8992)    VA PRODUCT (50.68)

Name Value
NAME HYALURONATE NA 30MG/ML INJ,OPH,SYRINGE,0.65ML
VA GENERIC NAME HYALURONATE SODIUM
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 30
UNITS MG/ML
DSS NUMBER 7
NATIONAL FORMULARY NAME HYALURONATE SODIUM INJ
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME HYALURONATE NA 30MG/ML OPH SYR 0.65ML
VA PRODUCT IDENTIFIER H0265
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4009434
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-20 00:00:00
    STATUS:   INACTIVE
  • 2009-04-08 00:00:00
    STATUS:   ACTIVE