AMPICILLIN 3.5GM/PROBENECID 1GM/BTL SUSP (3310) VA PRODUCT (50.68)

Name	Value
NAME	AMPICILLIN 3.5GM/PROBENECID 1GM/BTL SUSP
VA GENERIC NAME	AMPICILLIN/PROBENECID
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	AMPICILLIN STRENGTH: 3.5 UNITS: GM/BTL PROBENECID STRENGTH: 1 UNITS: GM/BTL
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-09-26 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	AMPICILLIN/PROBENECID LIQUID,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	AMPICILLIN 3.5/PROBENECID 1GM SUSP
VA PRODUCT IDENTIFIER	A0293
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	BTL
MASTER ENTRY FOR VUID	YES
VUID	4003880
EFFECTIVE DATE/TIME	2002-09-26 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE