| NAME |
CEFOTETAN DISODIUM 2GM/50ML IV INJ,BAG |
| VA GENERIC NAME |
CEFOTETAN |
| DOSAGE FORM |
INJ |
| HAZARDOUS TO DISPOSE |
NO |
| FORMULARY DESIGNATOR |
R |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR |
YES |
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
2 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2023-05-15 00:00:00 |
| UNITS |
GM/50ML |
| NATIONAL FORMULARY NAME |
CEFOTETAN INJ |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2019-02-28 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
CEFOTETAN DISODIUM 2GM/50ML IV INJ BAG |
| VA PRODUCT IDENTIFIER |
C1884 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4038189 |
| EFFECTIVE DATE/TIME |
-
- 2019-03-04 00:00:00
- STATUS: ACTIVE
-
- 2023-05-15 00:00:00
- STATUS: INACTIVE
|
