CEFTIZOXIME NA 20MG/ML/DEXTROSE 5% INJ,BAG,50ML (2503)    VA PRODUCT (50.68)

Name Value
NAME CEFTIZOXIME NA 20MG/ML/DEXTROSE 5% INJ,BAG,50ML
VA GENERIC NAME CEFTIZOXIME/DEXTROSE
DOSAGE FORM INJ,SOLN
FORMULARY DESIGNATOR R
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 20
INACTIVATION DATE 2009-09-29 00:00:00
UNITS MG/ML
DSS NUMBER 3
NATIONAL FORMULARY NAME CEFTIZOXIME/DEXTROSE INJ,SOLN
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 CEFTIZOXIME 20MG/ML/D5% INJ BAG 50ML
VA PRODUCT IDENTIFIER C0700
TRANSMIT TO CMOP NO
VA DISPENSE UNIT BAG
MASTER ENTRY FOR VUID YES
VUID 4003084
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-09-29 00:00:00
    STATUS:   INACTIVE
  • 2009-09-29 00:00:00
    STATUS:   INACTIVE