AMOXICILLIN TRIHYDRATE 250MG TAB,CHEWABLE (1041)    VA PRODUCT (50.68)

Name Value
NAME AMOXICILLIN TRIHYDRATE 250MG TAB,CHEWABLE
VA GENERIC NAME AMOXICILLIN
DOSAGE FORM TAB,CHEWABLE
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 250
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
DSS NUMBER 7
NATIONAL FORMULARY NAME AMOXICILLIN TAB,CHEWABLE
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 AMOXICILLIN 250MG CHEW TAB
VA PRODUCT IDENTIFIER A0260
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4001645
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE