CILASTATIN NA 500MG/IMIPENEM 500MG/VIL INJ IM (2413) VA PRODUCT (50.68)

Name	Value
NAME	CILASTATIN NA 500MG/IMIPENEM 500MG/VIL INJ IM
VA GENERIC NAME	CILASTATIN/IMIPENEM
DOSAGE FORM	INJ,PWDR
ACTIVE INGREDIENTS	CILASTATIN SODIUM STRENGTH: 500 UNITS: MG/VIAL IMIPENEM STRENGTH: 500 UNITS: MG/VIAL
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2022-09-29 00:00:00
DSS NUMBER	4
NATIONAL FORMULARY NAME	CILASTATIN/IMIPENEM INJ,PWDR
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	CILASTATIN NA 500MG/IMIPENEM 500MG/VI IM
VA PRODUCT IDENTIFIER	C2045
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	VI
MASTER ENTRY FOR VUID	YES
VUID	4002995
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2022-09-29 00:00:00 STATUS: INACTIVE