ERYTHROMYCIN ES 200MG/SULFISOXAZOLE 600MG/5ML SUSP (5794)    VA PRODUCT (50.68)

Name Value
NAME ERYTHROMYCIN ES 200MG/SULFISOXAZOLE 600MG/5ML SUSP
VA GENERIC NAME ERYTHROMYCIN/SULFISOXAZOLE
DOSAGE FORM SUSP
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR NO
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2023-02-15 00:00:00
DSS NUMBER 2
NATIONAL FORMULARY NAME ERYTHROMYCIN/SULFISOXAZOLE SUSP
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 ERYTHRO 200/SULFISOXAZOLE 600MG/5ML SUSP
VA PRODUCT IDENTIFIER E0127
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID NO
VUID 4006318
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2005-12-08 00:00:00
    STATUS:   ACTIVE
  • 1998-11-16 00:00:00
    STATUS:   INACTIVE
  • 2023-02-15 00:00:00
    STATUS:   INACTIVE