NAPHAZOLINE HCL 0.05%/P-EPHRINE 0.5%/PYRILAMINE 0.2% SOLN,NASAL (9803) VA PRODUCT (50.68)

Name	Value
NAME	NAPHAZOLINE HCL 0.05%/P-EPHRINE 0.5%/PYRILAMINE 0.2% SOLN,NASAL
VA GENERIC NAME	NAPHAZOLINE/PHENYLEPHRINE/PYRILAMINE
DOSAGE FORM	SOLN,NASAL
ACTIVE INGREDIENTS	NAPHAZOLINE HYDROCHLORIDE STRENGTH: 0.05 UNITS: % WATER POTASSIUM PHOSPHATE PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 0.5 UNITS: % SODIUM PHOSPHATE THIMEROSAL STRENGTH: 0.005 UNITS: % PYRILAMINE MALEATE STRENGTH: 0.2 UNITS: % POLOXAMER 188 BENZALKONIUM CHLORIDE
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-27 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	NAPHAZOLINE/PHENYLEPHRINE/PYRILAMINE SOLN,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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4010207
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-27 00:00:00 STATUS: INACTIVE