82584-0003-30 - VA Information

Status	Active
Product Name	LATANOPROST 0.005% (PF) SOLN,OPH,0.2ML	Name used by the Veterans Health Administration
Trade Name	IYUZEH
VA Generic Name	LATANOPROST	Generic name used by the Veterans Health Administration
Manufacturer	THEA PHARMA INC

Dispense Type	Prescription
DEA Schedule	0 - UNSCHEDULED	Classification of Controlled Substances

Package	30 VIAL
Dosage Form	Ophthalmic Solution
Active Ingredient	LATANOPROST 0.005%
VA Therapeutic Class Code	OP109
Therapeutic Class	ANTIGLAUCOMA,OTHER

National Formulary Status	N	"Y" - included in the VA National Formulary, "N" - not included
National Formulary Name	LATANOPROST SOLN,OPH	Name used for the VA National Formulary
Formulary Designator		PA-F - indicates a drug requiring Prior Authorization

Mail Order (CMOP)	N	"Y" - item is available via mail order, "N" - not available
Label ID	L0925	ID to be printed on labels
Print Label Name	LATANOPROST 0.005% (PF) OPH SOLN 0.2ML	Name to be printed on labels
Dispense Unit	EA	Unit dispensed by the VA mail order program

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