CEFTOLOZANE 1GM/TAZOBACTAM 0.5GM/VIL INJ (25339) VA PRODUCT (50.68)

Name	Value
NAME	CEFTOLOZANE 1GM/TAZOBACTAM 0.5GM/VIL INJ
VA GENERIC NAME	CEFTOLOZANE/TAZOBACTAM
DOSAGE FORM	INJ
FORMULARY DESIGNATOR	PA-F
FORMULARY DESIGNATOR TEXT	Restricted to ID or other facility authorized providers
ACTIVE INGREDIENTS	TAZOBACTAM SODIUM STRENGTH: 0.537 UNITS: GM/VIAL CEFTOLOZANE SULFATE STRENGTH: 1.147 UNITS: GM/VIAL
NATIONAL FORMULARY INDICATOR	YES
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	1.5
SINGLE/MULTI SOURCE PRODUCT	Multisource
UNITS	GM/VIAL
NATIONAL FORMULARY NAME	CEFTOLOZANE/TAZOBACTAM INJ
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	No Possible Dosages
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	CEFTOLOZANE 1GM/TAZOBACTAM 0.5GM/VI INJ
VA PRODUCT IDENTIFIER	C1682
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	VI
MASTER ENTRY FOR VUID	YES
VUID	4034049
EFFECTIVE DATE/TIME	2015-01-08 00:00:00 STATUS: ACTIVE