EPHEDRINE HCL 0.6%/NACL 0.85% JELLY,NASAL (9591) VA PRODUCT (50.68)

Name	Value
NAME	EPHEDRINE HCL 0.6%/NACL 0.85% JELLY,NASAL
VA GENERIC NAME	EPHEDRINE/SODIUM CHLORIDE
DOSAGE FORM	JELLY,NASAL
ACTIVE INGREDIENTS	EPHEDRINE HYDROCHLORIDE STRENGTH: 0.6 UNITS: % SODIUM CHLORIDE STRENGTH: 0.85 UNITS: % CHLOROBUTANOL STRENGTH: 0.5 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	EPHEDRINE/SODIUM CHLORIDE JELLY,NASAL
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	EPHEDRINE 0.6/NACL 0.85% NASAL JELLY
VA PRODUCT IDENTIFIER	E0094
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4010006
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE