NYSTATIN 250000UNT/OXYTETRACYCLINE 250MG CAP (5150) VA PRODUCT (50.68)

Name	Value
NAME	NYSTATIN 250000UNT/OXYTETRACYCLINE 250MG CAP
VA GENERIC NAME	NYSTATIN/OXYTETRACYCLINE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	OXYTETRACYCLINE HYDROCHLORIDE STRENGTH: 250 UNITS: MG NYSTATIN STRENGTH: 250000 UNITS: UNIT
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-09-25 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	NYSTATIN/OXYTETRACYCLINE CAP,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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4005691
EFFECTIVE DATE/TIME	2002-09-25 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE