| NAME |
CLINDAMYCIN PO4 150MG/ML INJ,ADD-VANTAGE,4ML |
| VA GENERIC NAME |
CLINDAMYCIN |
| DOSAGE FORM |
INJ,SOLN |
| FORMULARY DESIGNATOR |
R |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR |
YES |
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
150 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2020-10-15 00:00:00 |
| UNITS |
MG/ML |
| DSS NUMBER |
16 |
| NATIONAL FORMULARY NAME |
CLINDAMYCIN INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
CLINDAMYCIN 150MG/ML INJ ADD-VANTAGE 4ML |
| VA PRODUCT IDENTIFIER |
C0764 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
VI |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4003483 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2020-10-15 00:00:00
- STATUS: INACTIVE
-
- 2020-10-15 00:00:00
- STATUS: INACTIVE
-
- 2020-10-15 00:00:00
- STATUS: INACTIVE
|
