OMECLAMOX-PAK DAILY DOSE PACK (27311) VA PRODUCT (50.68)

Name	Value
NAME	OMECLAMOX-PAK DAILY DOSE PACK
VA GENERIC NAME	AMOXICILLIN/CLARITHROMYCIN/OMEPRAZOLE
DOSAGE FORM	MISCELLANEOUS
ACTIVE INGREDIENTS	AMOXICILLIN TRIHYDRATE STRENGTH: 500 UNITS: MG OMEPRAZOLE STRENGTH: 20 UNITS: MG CLARITHROMYCIN STRENGTH: 500 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	AMOXICILLIN/CLARITHROMYCIN/OMEPRAZOLE MISCELLANEOUS
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	YES
PGX SUPPRESSED	NO
VA PRINT NAME	OMECLAMOX-PAK DAILY DOSE PACK
VA PRODUCT IDENTIFIER	O0387
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	YES
VUID	4036209
EFFECTIVE DATE/TIME	2016-11-28 00:00:00 STATUS: ACTIVE