VANCOMYCIN HCL 125MG/2.5ML (50MG/ML) SOLN,ORAL SYR (23288)    VA PRODUCT (50.68)

Name Value
NAME VANCOMYCIN HCL 125MG/2.5ML (50MG/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 50
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2019-09-16 00:00:00
UNITS MG/ML
NATIONAL FORMULARY NAME VANCOMYCIN SOLN,ORAL
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 VANCOMYCIN 125MG/2.5ML (50MG/ML) ORAL
VA PRODUCT IDENTIFIER V0241
TRANSMIT TO CMOP YES
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4031730
EFFECTIVE DATE/TIME
  • 2012-10-26 00:00:00
    STATUS:   ACTIVE
  • 2019-09-16 00:00:00
    STATUS:   INACTIVE
  • 2019-09-16 00:00:00
    STATUS:   INACTIVE
  • 2019-09-16 00:00:00
    STATUS:   INACTIVE