CEFPODOXIME PROXETIL 200MG TAB,UD (15701)    VA PRODUCT (50.68)

Name Value
NAME CEFPODOXIME PROXETIL 200MG TAB,UD
VA GENERIC NAME CEFPODOXIME PROXETIL
DOSAGE FORM TAB
FORMULARY DESIGNATOR R
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 200
INACTIVATION DATE 2007-09-19 00:00:00
UNITS MG
NATIONAL FORMULARY NAME CEFPODOXIME PROXETIL 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 CEFPODOXIME PROXETIL 200MG TAB UD
VA PRODUCT IDENTIFIER C1053
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4016064
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE