| NAME |
VANCOMYCIN HCL 1GM/BTL SOLN,ORAL |
| VA GENERIC NAME |
VANCOMYCIN |
| DOSAGE FORM |
PWDR,RENST-ORAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
1 |
| INACTIVATION DATE |
2017-07-28 00:00:00 |
| UNITS |
GM/BTL |
| DSS NUMBER |
5 |
| NATIONAL FORMULARY NAME |
VANCOMYCIN PWDR,RENST-ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| 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 |
VANCOMYCIN HCL 1GM/BTL ORAL SOLN |
| VA PRODUCT IDENTIFIER |
V0024 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
BTL |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4000923 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
|
