VANCOMYCIN HCL 100MG/ML INJ (304) VA PRODUCT (50.68)

Name	Value
NAME	VANCOMYCIN HCL 100MG/ML INJ
VA GENERIC NAME	VANCOMYCIN
DOSAGE FORM	INJ
FORMULARY DESIGNATOR	R
ACTIVE INGREDIENTS	VANCOMYCIN HYDROCHLORIDE STRENGTH: 100 UNITS: MG/ML
NATIONAL FORMULARY INDICATOR	YES
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	100
INACTIVATION DATE	2007-09-28 00:00:00
UNITS	MG/ML
DSS NUMBER	8
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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4000926
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE