CEFTAROLINE FOSAMIL 400MG/VIL INJ (22050)    VA PRODUCT (50.68)

Name Value
NAME CEFTAROLINE FOSAMIL 400MG/VIL INJ
VA GENERIC NAME CEFTAROLINE
DOSAGE FORM INJ,PWDR
FORMULARY DESIGNATOR R
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 400
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/VIAL
NATIONAL FORMULARY NAME CEFTAROLINE INJ,PWDR
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CEFTAROLINE FOSAMIL 400MG/VIL INJ
VA PRODUCT IDENTIFIER C1464
TRANSMIT TO CMOP YES
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4030285
EFFECTIVE DATE/TIME
  • 2010-12-03 00:00:00
    STATUS:   ACTIVE