ERYTHROMYCIN BASE 500MG TAB,EC (22743)    VA PRODUCT (50.68)

Name Value
NAME ERYTHROMYCIN BASE 500MG TAB,EC
VA GENERIC NAME ERYTHROMYCIN
DOSAGE FORM TAB,EC
FORMULARY DESIGNATOR R
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 500
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
NATIONAL FORMULARY NAME ERYTHROMYCIN TAB,EC
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 ERYTHROMYCIN BASE 500MG EC TAB
VA PRODUCT IDENTIFIER E0576
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4031092
EFFECTIVE DATE/TIME
  • 2011-11-04 00:00:00
    STATUS:   ACTIVE