VANCOMYCIN HCL 500MG/VIL INJ (297)    VA PRODUCT (50.68)

Name Value
NAME VANCOMYCIN HCL 500MG/VIL INJ
VA GENERIC NAME VANCOMYCIN
DOSAGE FORM INJ
FORMULARY DESIGNATOR R
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 500
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/VIAL
DSS NUMBER 1
NATIONAL FORMULARY NAME VANCOMYCIN INJ
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
VA PRINT NAME VANCOMYCIN HCL 500MG/VI INJ
VA PRODUCT IDENTIFIER V0004
TRANSMIT TO CMOP YES
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4000919
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-27 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE