DOXYCYCLINE HYCLATE 80MG TAB,EC (29211)    VA PRODUCT (50.68)

Name Value
NAME DOXYCYCLINE HYCLATE 80MG TAB,EC
VA GENERIC NAME DOXYCYCLINE
DOSAGE FORM TAB,EC
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 80
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG
NATIONAL FORMULARY NAME DOXYCYCLINE TAB,EC
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2019-05-02 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DOXYCYCLINE HYCLATE 80MG EC TAB
VA PRODUCT IDENTIFIER D1208
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4038349
EFFECTIVE DATE/TIME
  • 2019-05-02 00:00:00
    STATUS:   ACTIVE
  • 2019-12-16 00:00:00
    STATUS:   INACTIVE
  • 2023-04-16 00:00:00
    STATUS:   ACTIVE