TETRACYCLINE HCL 100MG/ML INJ IM (1314)    VA PRODUCT (50.68)

Name Value
NAME TETRACYCLINE HCL 100MG/ML INJ IM
VA GENERIC NAME TETRACYCLINE
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 100
INACTIVATION DATE 2007-09-25 00:00:00
UNITS MG/ML
DSS NUMBER 9
NATIONAL FORMULARY NAME TETRACYCLINE INJ
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 4001915
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-25 00:00:00
    STATUS:   INACTIVE