CEFEPIME HCL 2GM/PB BTL INJ,100ML (12622)    VA PRODUCT (50.68)

Name Value
NAME CEFEPIME HCL 2GM/PB BTL INJ,100ML
VA GENERIC NAME CEFEPIME
DOSAGE FORM INJ,PWDR
FORMULARY DESIGNATOR R
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 2
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2019-01-15 00:00:00
UNITS GM/BTL
DSS NUMBER 5
NATIONAL FORMULARY NAME CEFEPIME INJ,PWDR
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
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 CEFEPIME HCL 2GM/PB BTL INJ 100ML
VA PRODUCT IDENTIFIER C0723
TRANSMIT TO CMOP NO
VA DISPENSE UNIT BTL
MASTER ENTRY FOR VUID YES
VUID 4012987
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2019-01-15 00:00:00
    STATUS:   INACTIVE