APRACLONIDINE HCL 1% SOLN,OPH (9692) VA PRODUCT (50.68)

Name	Value
NAME	APRACLONIDINE HCL 1% SOLN,OPH
VA GENERIC NAME	APRACLONIDINE
DOSAGE FORM	SOLN,OPH
ACTIVE INGREDIENTS	WATER APRACLONIDINE HYDROCHLORIDE STRENGTH: 1 UNITS: % SODIUM ACETATE SODIUM CHLORIDE SODIUM HYDROXIDE HYDROCHLORIC ACID BENZALKONIUM CHLORIDE STRENGTH: 0.01 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	1
SINGLE/MULTI SOURCE PRODUCT	Single source
UNITS	%
DSS NUMBER	1
NATIONAL FORMULARY NAME	APRACLONIDINE 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	APRACLONIDINE HCL 1% OPH SOLN
VA PRODUCT IDENTIFIER	A0358
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4010101
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE