BACITRACIN ZINC 500UNT/POLYMYXIN B SO4 10000UNT/GM PWDR,TOP (5988)    VA PRODUCT (50.68)

Name Value
NAME BACITRACIN ZINC 500UNT/POLYMYXIN B SO4 10000UNT/GM PWDR,TOP
VA GENERIC NAME BACITRACIN/POLYMYXIN B
DOSAGE FORM POWDER,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2014-08-25 00:00:00
DSS NUMBER 3
NATIONAL FORMULARY NAME BACITRACIN/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
VA PRINT NAME BACITRACIN 500/POLYMYXIN 10000/GM PWD
VA PRODUCT IDENTIFIER B0596
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4006510
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2010-11-03 00:00:00
    STATUS:   INACTIVE
  • 2011-01-11 00:00:00
    STATUS:   ACTIVE