PEN G BENZATHINE 450000UNT/PEN G PROCAINE 150000UNT/ML INJ,SUSP (199) VA PRODUCT (50.68)

Name	Value
NAME	PEN G BENZATHINE 450000UNT/PEN G PROCAINE 150000UNT/ML INJ,SUSP
VA GENERIC NAME	PENICILLIN
DOSAGE FORM	INJ,SUSP
ACTIVE INGREDIENTS	PENICILLIN G PROCAINE STRENGTH: 150000 UNITS: UNIT/ML PENICILLIN G BENZATHINE STRENGTH: 450000 UNITS: UNIT/ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	21
NATIONAL FORMULARY NAME	PENICILLIN BENZATHINE/PROCAINE IN
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
VA PRINT NAME	PEN G BENZ/PROCAINE 450000/150000 UNT/ML
VA PRODUCT IDENTIFIER	P0847
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	SYR
MASTER ENTRY FOR VUID	YES
VUID	4000822
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE