DOXYCYCLINE HYCLATE 10% SUSP,SUBGINGIVAL,SA (20035)    VA PRODUCT (50.68)

Name Value
NAME DOXYCYCLINE HYCLATE 10% SUSP,SUBGINGIVAL,SA
VA GENERIC NAME DOXYCYCLINE
DOSAGE FORM SUSP,SUBGINGIVAL,SA
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 10
INACTIVATION DATE 2011-05-24 00:00:00
UNITS %
NATIONAL FORMULARY NAME DOXYCYCLINE SUSP,SUBGINGIVAL,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 DOXYCYCLINE 10% SA SUBGINGIVAL SUSP
VA PRODUCT IDENTIFIER D0793
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4027986
EFFECTIVE DATE/TIME
  • 2008-11-06 00:00:00
    STATUS:   ACTIVE
  • 2011-05-24 00:00:00
    STATUS:   INACTIVE