| NAME |
VANCOMYCIN HCL 5MG/ML INJ,BAG,350ML |
| VA GENERIC NAME |
VANCOMYCIN |
| DOSAGE FORM |
INJ |
| HAZARDOUS TO DISPOSE |
NO |
| FORMULARY DESIGNATOR |
R |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR |
YES |
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
5 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MG/ML |
| NATIONAL FORMULARY NAME |
VANCOMYCIN INJ |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2020-08-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
VANCOMYCIN HCL 5MG/ML INJ BAG 350ML |
| VA PRODUCT IDENTIFIER |
V0317 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
BAG |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4039652 |
| EFFECTIVE DATE/TIME |
-
- 2020-08-27 00:00:00
- STATUS: ACTIVE
-
- 2020-08-27 00:00:00
- STATUS: ACTIVE
-
- 2020-08-27 00:00:00
- STATUS: ACTIVE
|
