NAME |
PEN G BENZATHINE 300000UNT/PEN G PROCAINE 300000UNT/ML INJ,SUSP |
VA GENERIC NAME |
PENICILLIN |
DOSAGE FORM |
INJ,SUSP |
ACTIVE INGREDIENTS |
|
CS FEDERAL SCHEDULE |
Unscheduled |
SINGLE/MULTI SOURCE PRODUCT |
Multisource |
DSS NUMBER |
19 |
NATIONAL FORMULARY NAME |
PENICILLIN BENZATHINE/PROCAINE INJ,SUSP |
CREATE DEFAULT POSSIBLE DOSAGE |
YES |
CODING SYSTEM |
|
COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
VA PRINT NAME |
PEN G BENZ/PROCAINE 300000/300000 UNT/ML |
VA PRODUCT IDENTIFIER |
P0848 |
TRANSMIT TO CMOP |
NO |
VA DISPENSE UNIT |
SYR |
MASTER ENTRY FOR VUID |
YES |
VUID |
4000820 |
EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
|