GENTAMICIN SO4 0.9MG/ML/NACL 0.9% INJ (5391)    VA PRODUCT (50.68)

Name Value
NAME GENTAMICIN SO4 0.9MG/ML/NACL 0.9% INJ
VA GENERIC NAME GENTAMICIN/SODIUM CHLORIDE
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.9
INACTIVATION DATE 2009-05-20 00:00:00
UNITS MG/ML
DSS NUMBER 4
NATIONAL FORMULARY NAME GENTAMICIN/SODIUM CHLORIDE INJ,SOLN
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 4005921
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-05-20 00:00:00
    STATUS:   INACTIVE
  • 2009-05-20 00:00:00
    STATUS:   INACTIVE