CLARITHROMYCIN 500MG TAB,SA,PKT,14 (15518)    VA PRODUCT (50.68)

Name Value
NAME CLARITHROMYCIN 500MG TAB,SA,PKT,14
VA GENERIC NAME CLARITHROMYCIN
DOSAGE FORM TAB,SA
FORMULARY DESIGNATOR R
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR NO
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 500
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2019-06-18 00:00:00
UNITS MG
NATIONAL FORMULARY NAME CLARITHROMYCIN TAB,SA
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 CLARITHROMYCIN 500MG SA TAB PKT 14
VA PRODUCT IDENTIFIER C1042
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4015881
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2019-06-18 00:00:00
    STATUS:   INACTIVE
  • 2019-06-18 00:00:00
    STATUS:   INACTIVE