| 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 |
|
| 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
|