OXYTETRACYCLINE 30MG/POLYMYXIN B SO4 10000UNT/GM PWDR,TOP (5148) VA PRODUCT (50.68)

Name	Value
NAME	OXYTETRACYCLINE 30MG/POLYMYXIN B SO4 10000UNT/GM PWDR,TOP
VA GENERIC NAME	OXYTETRACYCLINE/POLYMYXIN B
DOSAGE FORM	POWDER,TOP
ACTIVE INGREDIENTS	OXYTETRACYCLINE HYDROCHLORIDE STRENGTH: 30 UNITS: MG/GM POLYMYXIN B SULFATE STRENGTH: 10000 UNITS: UNIT/GM
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-24 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	OXYTETRACYCLINE/POLYMYXIN B POWDER,TOP
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	4005689
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-24 00:00:00 STATUS: INACTIVE