OXYTETRACYCLINE HCL 250MG/VIL INJ IV (5141)    VA PRODUCT (50.68)

Name Value
NAME OXYTETRACYCLINE HCL 250MG/VIL INJ IV
VA GENERIC NAME OXYTETRACYCLINE
DOSAGE FORM INJ
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 250
INACTIVATION DATE 2007-09-24 00:00:00
UNITS MG/VIAL
DSS NUMBER 5
NATIONAL FORMULARY NAME OXYTETRACYCLINE 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
PGX ELIGIBLE NO
PGX SUPPRESSED NO
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4005682
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-24 00:00:00
    STATUS:   INACTIVE