CILASTATIN NA 750MG/IMIPENEM 750MG/VIL INJ IM (2414)    VA PRODUCT (50.68)

Name Value
NAME CILASTATIN NA 750MG/IMIPENEM 750MG/VIL INJ IM
VA GENERIC NAME CILASTATIN/IMIPENEM
DOSAGE FORM INJ,PWDR
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-19 00:00:00
DSS NUMBER 5
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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4002996
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE