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
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