AMOXICILLIN TRIHYDRATE 250MG TAB (1048)    VA PRODUCT (50.68)

Name Value
NAME AMOXICILLIN TRIHYDRATE 250MG TAB
VA GENERIC NAME AMOXICILLIN
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 250
INACTIVATION DATE 2007-09-18 00:00:00
UNITS MG
DSS NUMBER 14
NATIONAL FORMULARY NAME AMOXICILLIN TAB
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 TAB
VA PRODUCT IDENTIFIER A0273
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4001652
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-18 00:00:00
    STATUS:   INACTIVE