PHENYLEPHRINE HCL 0.12%/ZINC SO4 0.25% SOLN,OPH (9237) VA PRODUCT (50.68)

Name	Value
NAME	PHENYLEPHRINE HCL 0.12%/ZINC SO4 0.25% SOLN,OPH
VA GENERIC NAME	PHENYLEPHRINE/ZINC SULFATE
DOSAGE FORM	SOLN,OPH
ACTIVE INGREDIENTS	ZINC SULFATE STRENGTH: 0.25 UNITS: % PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 0.12 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-24 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	PHENYLEPHRINE/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	PHENYLEPHR 0.12/ZINC SULF 0.25% OPH SOLN
VA PRODUCT IDENTIFIER	P0237
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4009666
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-24 00:00:00 STATUS: INACTIVE