| NAME |
VANCOMYCIN HCL 250MG/2.5ML (100MG/ML) SOLN,ORAL SYR |
| VA GENERIC NAME |
VANCOMYCIN |
| DOSAGE FORM |
SOLN,ORAL |
| FORMULARY DESIGNATOR |
R |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR |
NO |
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
100 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2017-07-28 00:00:00 |
| UNITS |
MG/ML |
| NATIONAL FORMULARY NAME |
VANCOMYCIN SOLN,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
VANCOMYCIN 250MG/2.5ML (100MG/ML) ORAL |
| VA PRODUCT IDENTIFIER |
V0187 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
SYR |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4028362 |
| EFFECTIVE DATE/TIME |
-
- 2009-02-06 00:00:00
- STATUS: ACTIVE
|
