PEN G BENZATHINE 150000UNT/PEN G PROCAINE 150000UNT/ML INJ,SUSP (201) VA PRODUCT (50.68)

Name	Value
NAME	PEN G BENZATHINE 150000UNT/PEN G PROCAINE 150000UNT/ML INJ,SUSP
VA GENERIC NAME	PENICILLIN
DOSAGE FORM	INJ,SUSP
FORMULARY DESIGNATOR	R
ACTIVE INGREDIENTS	PENICILLIN G PROCAINE STRENGTH: 150000 UNITS: UNIT/ML PENICILLIN G BENZATHINE STRENGTH: 150000 UNITS: UNIT/ML
NATIONAL FORMULARY INDICATOR	NO
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-02 00:00:00
DSS NUMBER	23
NATIONAL FORMULARY NAME	PENICILLIN G BENZATHINE INJ,SUSP
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4000824
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE